Midlick, David George

Midlick, David George is an sole proprietor health care provider with primary practice located at 6686 Double Eagle Dr Unit 103, Woodridge IL 60517-5428. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Cardiovascular-Interventional Technology, which is considered as his primary health care specialty. Midlick, David George can be contacted via phone (630) 663-9811.

Contact Information

Primary practice address
6686 Double Eagle Dr Unit 103 Woodridge IL 60517-5428
Phone: (630) 663-9811
Fax: (630) 663-9018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Cardiovascular-Interventional Technology 2471C1101X

Profile Details

NPI number 1477673275
LBN Legal business name Midlick, David George
Credentials C.C.T,BA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477673275 NPPES
Illinois MEDICAID 364429849001
Illinois Other BLUE CROSS

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