NPI | 1285771972 |
---|---|
Doing Business As | MIDWEST PHYSICIAN CENTER OF HOMEWOOD GLENWOOD |
Entity Type | Organization |
Authorized Contact | DEBORAH J NELSON CEO 708-747-7960 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-08-09 |