MEDICARE: MIDWEST PRIMARY CARE ASSOCIATES,LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	036.124385	IL

General Provider Information

NPI Number	:	1730517681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST PRIMARY CARE ASSOCIATES,LTD

Provider Business Mailing Address
First Line	:	1845 W ARMY TRAIL RD
Second Line	:
City	:	ADDISON
State	:	IL
Zip	:	60101-1901
Country	:	US
Telephone Number	:	630-624-9636
Fax Number	:	630-559-0872

Provider Business Practice Location Address
First Line	:	1845 W ARMY TRAIL RD
Second Line	:
City	:	ADDISON
State	:	IL
Zip	:	60101-1901
Country	:	US
Telephone Number	:	630-624-9638
Fax Number	:	630-559-0872

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. UZAIR M SYED
Credential	:	M.D
Telephone Number	:	630-464-2627

Provider Enumeration Date	:	10/30/2013
Last Update Date	:	01/09/2014

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