| NPI | 1073650818 |
|---|---|
| Doing Business As | MIDWEST PHYSICIAN CENTER OF BOURBONNAIS |
| Entity Type | Organization |
| Authorized Contact | DEBORAH J NELSON CEO 708-747-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| 207K00000X Allergy & Immunology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |