Healthcare Provider Details

I. General information

NPI: 1912382821
Provider Name (Legal Business Name): MIDWEST POST ACUTE CARE ENTERPRISE LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2015
Last Update Date: 05/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 167TH ST SUITE 5
TINLEY PARK IL
60477-2859
US

IV. Provider business mailing address

PO BOX 1033
YORKVILLE IL
60560-0896
US

V. Phone/Fax

Practice location:
  • Phone: 708-548-4715
  • Fax: 708-429-4460
Mailing address:
  • Phone: 630-385-2594
  • Fax: 630-385-2778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ASAD ZAMAN
Title or Position: MD
Credential: M.D
Phone: 630-385-2594