Provider Demographics
NPI:1184726044
Name:MIDWEST MEDICINE & ACUPUNCTURE SC
Entity type:Organization
Organization Name:MIDWEST MEDICINE & ACUPUNCTURE SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:XIAOPING
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-655-9988
Mailing Address - Street 1:120 E OGDEN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3542
Mailing Address - Country:US
Mailing Address - Phone:630-655-9988
Mailing Address - Fax:630-972-4451
Practice Address - Street 1:120 E OGDEN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3542
Practice Address - Country:US
Practice Address - Phone:630-655-9988
Practice Address - Fax:630-972-4451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty