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Contact Information

INTENSIVE CARE CONSORTIUM - MIDWEST, LLC
550 N HILLSIDE ST
WICHITA, KS67214-4910
 Phone: 316-962-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTENSIVE CARE CONSORTIUM MIDWEST LLC · (Female)

NPI # 1275278574
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2022
Last updated 11/21/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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