NPI 1124112461

Midwest Medicorp, Sc

Organisation Physical Medicine & Rehabilitation Physician Chicago, IL

Practice location

Address: 6524 W Archer Ave, Chicago, IL 60638-2400
Phone: (773) 229-9600
Fax: (773) 229-9611

Authorised official

Name: Ali Rafie-Safaie
Title: Manager
Phone: (773) 229-9600

Registered specialties (3)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 036096853 (IL)

Other Physical Medicine & Rehabilitation providers in Illinois →

Chiropractor

Chiropractic Providers Taxonomy 111N00000X

Other Chiropractor providers in Illinois →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 016004709 (IL)

Other Podiatrist providers in Illinois →

Registry record

NPI: 1124112461
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 4 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.