Provider Demographics
NPI:1225140635
Name:MIDWEST TRAVEL MEDICINE PC
Entity Type:Organization
Organization Name:MIDWEST TRAVEL MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGELSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:RNC
Authorized Official - Phone:630-548-4811
Mailing Address - Street 1:636 RAYMOND DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9789
Mailing Address - Country:US
Mailing Address - Phone:630-548-9747
Mailing Address - Fax:630-548-4909
Practice Address - Street 1:636 RAYMOND DR
Practice Address - Street 2:SUITE 204
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-9789
Practice Address - Country:US
Practice Address - Phone:630-548-9747
Practice Address - Fax:630-548-4909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty