MEDICARE: MIDWEST REFUAH HEALTH CENTER

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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1962219691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST REFUAH HEALTH CENTER

Provider Business Mailing Address
First Line	:	6374 N LINCOLN AVE STE 204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1219
Country	:	US
Telephone Number	:	872-270-5999
Fax Number	:

Provider Business Practice Location Address
First Line	:	6374 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1275
Country	:	US
Telephone Number	:	872-270-5999
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NED SCHOENFELD
Credential	:
Telephone Number	:	872-270-0960

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	02/12/2026

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