Midway Medical

LBN: Midway Medical
Midway Medical is an health care organization with primary practice located at 2 W 103Rd St , Chicago IL 60628-2619. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Midway Medical can be contacted via phone (773) 597-7698, or through Cok, Marvin via phone (773) 597-7698.

Contact Information

Primary practice address
2 W 103Rd St Chicago IL 60628-2619
Phone: (773) 597-7698
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cok, Marvin
Phone: (773) 597-7698

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1861964959
LBN Legal business name Midway Medical
DBA Doing business as
Authorized official Cok, Marvin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2018
Last updated Jul 22nd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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