| NPI | 1063954220 |
|---|---|
| Doing Business As | MIDWEST EXPRESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUDITH SCOTT Billing Man Ger 630-581-5372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: 036090435) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |