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General NPI Number Information
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NPI Number | 1528014933
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Entity Type | Organization
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Legal Business Name | MIDWEST MEDICAL SERVICES INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 5567 N ELSTON AVE
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City | CHICAGO
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State | IL
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Zip | 60630-1314
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Country | US
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Telephone | 773-774-8999
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Fax | 630-510-4501
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Provider Business Mailing Address
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Address Line | PO BOX 5988 DEPT 20-5056
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City | CAROL STREAM
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State | IL
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Zip | 60197-5988
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Country | US
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Telephone | 773-774-8999
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Fax | 630-510-4501
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN WITEK
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Credential |
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Telephone | 773-774-8875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 10 8963
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License Number State | IL
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