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MIDWAY MEDICAL
NPI 1861964959
Clinic/Center - Multi-Specialty in Chicago, IL

Active since December 30, 2018
2 W 103RD ST, CHICAGO, IL 60628(773) 597-7698 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2021, Dec 30, 2018 (2 updates tracked since 2018).

About Midway Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWAY MEDICAL (NPI 1861964959) is a healthcare organization registered as a multi-specialty in Chicago, Illinois and active in the NPI registry since December 2018. The organization lists Marvin Cok, Staff, as its authorized official.

NPPES Registry Identity

NPI1861964959
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMIDWAY MEDICAL
Location Address2 W 103RD STChicago, IL 60628-2619
Mailing Address2 W 103rd StChicago, IL 60628-2619 · (773) 597-7698
Phone(773) 597-7698
Organization SubpartNo
Authorized OfficialMarvin CokStaff · (773) 597-7698
Enumeration DateDecember 30, 2018
Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
✔ NPI 1861964959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
2 W 103RD ST, Chicago, IL 60628
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWAY MEDICAL CENTER
Community/Behavioral Health
2 W 103RD ST
CHICAGO, IL 60628
Cook County (313) 489-4715
JBL GROUP
Community/Behavioral Health
2 W 103RD ST
CHICAGO, IL 60628
Cook County (312) 489-4715
MIDWAY TURNING POINT INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
2 W 103RD ST
CHICAGO, IL 60628
Cook County (312) 489-4715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midway Medical's NPI number?

The NPI number for Midway Medical is 1861964959. It was assigned to this organization in the NPPES registry on December 30, 2018.

Where is Midway Medical located?

Midway Medical is located at 2 W 103rd St, Chicago, IL 60628. The listed phone number is (773) 597-7698.

What is Midway Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Midway Medical was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.