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General NPI Number Information
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NPI Number | 1508656315
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Entity Type | Organization
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Legal Business Name | MIDWEST REFUAH HEALTH CENTER
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 6347 N. LINCOLN AVE SUITE 204
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City | CHICAGO
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State | IL
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Zip | 60659
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Country | US
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Telephone | 872-270-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 6347 N. LINCOLN AVE SUITE 204
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City | CHICAGO
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State | IL
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Zip | 60659
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Country | US
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Telephone | 872-270-5999
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | NED SCHOENFELD
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Credential |
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Telephone | 872-270-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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