| Midwest Physician Center Of Homewood Glenwood | |
|
4001 Vollmer Rd Olympia Fields IL 60461 | |
| (708) 481-8883 | |
| (708) 481-2917 |
| Full Name | Midwest Physician Center Of Homewood Glenwood |
|---|---|
| Speciality | Family Medicine |
| Location | 4001 Vollmer Rd, Olympia Fields, Illinois |
| Authorized Official Name and Position | Deborah J Nelson (CEO) |
| Authorized Official Contact | 7087477960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Physician Center Of Homewood Glenwood 20110 Governors Hwy Olympia Fields IL 60461-1030 Ph: (708) 747-7960 | Midwest Physician Center Of Homewood Glenwood 4001 Vollmer Rd Olympia Fields IL 60461 Ph: (708) 481-8883 |
| NPI Number | 1285771972 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285771972 | NPI | - | NPPES |
| 0001616617 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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