| Organization Name: | MIDWEST PEDIATRICS INC |
| NPI Number: | 1538515234 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FOUAD AL-QAWASMI (PEDIATRICS) |
| Mailing Address: | 7456 S State Rd 302 Bedford Park |
| State: | IL US |
| Postal Code: | 606386623 |
| Phone Number: | 7085984100 |
| Fax Number: | 7085980123 |
| NPI Enumeration Date: | 05/11/2016 |
| NPI Last Update Date: | 05/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 036093184 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |