Provider Demographics
NPI:1912382821
Name:MIDWEST POST ACUTE CARE ENTERPRISE LIMITED
Entity Type:Organization
Organization Name:MIDWEST POST ACUTE CARE ENTERPRISE LIMITED
Other - Org Name:MPACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ASAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-385-2594
Mailing Address - Street 1:PO BOX 1033
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-0896
Mailing Address - Country:US
Mailing Address - Phone:630-385-2594
Mailing Address - Fax:630-385-2778
Practice Address - Street 1:6700 167TH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-2859
Practice Address - Country:US
Practice Address - Phone:708-548-4715
Practice Address - Fax:708-429-4460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-22
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherTAX-ID