Provider Demographics
NPI:1780494997
Name:MIDWEST MEDICAL SERVICES PLLC
Entity type:Organization
Organization Name:MIDWEST MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:MEHDI
Authorized Official - Last Name:KHAWARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-278-2237
Mailing Address - Street 1:2118 PLUM GROVE RD # 182
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-1932
Mailing Address - Country:US
Mailing Address - Phone:847-278-2237
Mailing Address - Fax:
Practice Address - Street 1:21660 W. FIELD PKWY
Practice Address - Street 2:SUITE 301 ROOM 1
Practice Address - City:DEER PARK
Practice Address - State:IL
Practice Address - Zip Code:60010-7265
Practice Address - Country:US
Practice Address - Phone:847-232-7145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty