Provider Demographics
NPI:1881053791
Name:MIDWEST CARE COORDINATOR INC
Entity type:Organization
Organization Name:MIDWEST CARE COORDINATOR INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYED MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-220-4022
Mailing Address - Street 1:2200 S MAIN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5334
Mailing Address - Country:US
Mailing Address - Phone:630-613-9185
Mailing Address - Fax:630-519-4457
Practice Address - Street 1:2200 S MAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5334
Practice Address - Country:US
Practice Address - Phone:630-613-9185
Practice Address - Fax:630-519-4457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier