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General NPI Number Information
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NPI Number | 1780494997
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Entity Type | Organization
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Legal Business Name | MIDWEST MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 21660 W. FIELD PKWY SUITE 301 ROOM 1
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City | DEER PARK
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State | IL
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Zip | 60010-7265
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Country | US
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Telephone | 847-232-7145
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Fax |
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Provider Business Mailing Address
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Address Line | 2118 PLUM GROVE RD # 182
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-1932
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Country | US
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Telephone | 847-278-2237
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND OWNER
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Name | MUHAMMAD MEHDI KHAWARI
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Credential | MD
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Telephone | 847-278-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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