MIDWEST PHYSICIAN GROUP LTD.
NPI 1467405985
Family Medicine in Olympia Fields, IL

NPI Status: Active since May 18, 2006

Contact Information

20110 GOVERNORS HWY
SUITE 1
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (708) 747-7960
Fax: (708) 503-3993

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  • Organization
  • Family Medicine
  • Accepts Insurance

About MIDWEST PHYSICIAN GROUP LTD.

This page provides the complete NPI Profile along with additional information for Midwest Physician Group Ltd., a primary care provider established in Olympia Fields, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1467405985 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 42005377 (IL). The provider is registered as an organization and their NPI record was last updated 18 years ago. Midwest Physician Group Ltd. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Deborah J Nelson (Chief Executive Officer)

NPI
1467405985
Provider Name
MIDWEST PHYSICIAN GROUP LTD.
Entity Type
Organization
Location Address
20110 GOVERNORS HWY SUITE 1 OLYMPIA FIELDS, IL 60461
Location Phone
(708) 747-7960
Location Fax
(708) 503-3993
Mailing Address
20110 GOVERNORS HWY SUITE 1 OLYMPIA FIELDS, IL 60461
Mailing Phone
(708) 747-7960
Mailing Fax
(708) 503-3993
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2006
Last Update Date
12-10-2007
Code Navigator

A primary care provider (PCP) like Midwest Physician Group Ltd. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
42005377
License State
IL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DEBORAH J NELSON

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(708) 747-7960

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CA7850OTHER (01)ILRAILROAD MEDICARE GROUP
634814MEDICARE ID-TYPE UNSPECIFIED (04)IL 
634813MEDICARE ID-TYPE UNSPECIFIED (04)IL 
CC6202OTHER (01)ILRAILROAD MEDICARE GROUP
992729MEDICARE ID-TYPE UNSPECIFIED (04)IL 
992727MEDICARE ID-TYPE UNSPECIFIED (04)IL 
992722MEDICARE ID-TYPE UNSPECIFIED (04)IL 
992725MEDICARE ID-TYPE UNSPECIFIED (04)IL 
634816MEDICARE ID-TYPE UNSPECIFIED (04)IL 
C10237OTHER (01)ILRAILROAD MEDICARE GROUP
634815MEDICARE ID-TYPE UNSPECIFIED (04)IL 
CD4066OTHER (01)ILRAILROAD MEDICARE GROUP
0001616617OTHER (01)ILBLUE SHIELD ID
634811MEDICARE ID-TYPE UNSPECIFIED (04)IL 
CA1946OTHER (01)ILRAILROAD MEDICARE GROUP
992724MEDICARE ID-TYPE UNSPECIFIED (04)IL 
360090MEDICARE ID-TYPE UNSPECIFIED (04)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467405985
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241278010916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 8 + 0 + 1 + 0 + 9 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1467405985 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841203486 GARY PLUNDO D.O.
Individual
Family Medicine20110 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
(708) 747-7960
1881762540 LORI JEAN WILLIAMS PA-C
Individual
Physician Assistant20110 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
(708) 747-7960
1053599167MIDWEST PHYSICIAN GROUP LTD
Organization
Clinic/Center (Physical Therapy)20110 GOVERNORS HWY 1ST FLOOR
OLYMPIA FIELDS, IL 60461
(708) 747-7960
1821318700MRS. PAMELA RUTH HORBACH DPT
Individual
Physical Therapist20110 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
(708) 503-3991

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467405985, enumerated in the NPI registry as an "organization" on May 18, 2006

The provider is located at 20110 Governors Hwy Suite 1 Olympia Fields, Il 60461 and the phone number is (708) 747-7960

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Railroad. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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