Provider Demographics
NPI:1245428499
Name:MIDWEST INTERNIST LTD
Entity Type:Organization
Organization Name:MIDWEST INTERNIST LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PADAMJIT
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-910-6200
Mailing Address - Street 1:8330 LEMONT RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-1510
Mailing Address - Country:US
Mailing Address - Phone:630-910-6200
Mailing Address - Fax:630-910-6288
Practice Address - Street 1:8330 LEMONT RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-1510
Practice Address - Country:US
Practice Address - Phone:630-910-6200
Practice Address - Fax:630-910-6288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL213459OtherMEDICARE GROUP ID
IL213459OtherMEDICARE GROUP ID
ILG53867Medicare UPIN