Midway Medical Center
Community/Behavioral Health in Chicago, IL. Organization (NPI-2).
NPI number1316545189
StatusActive
Last updated in NPPESOct 21, 2022
Details
- NPI
- 1316545189
- Entity type
- Organization (NPI-2)
- Legal business name
- Midway Medical Center
- Organization subpart
- Yes
- Enumeration date
- Oct 14, 2020
- Certification date
- Oct 21, 2022
- Last updated
- Oct 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | – |
Other names
- Midway Turning Point Center (Doing Business As)
Practice location
2 W 103rd StChicago, IL 60628-2619
Phone 313-489-4715
Mailing address
Po Box 212Crete, IL 60417-0212
Phone 313-489-4715
Authorized official
Eunice Walker
Director
3124894715
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