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Contact Information

DAVID G MIDLICK, C.C.T,BA
6686 DOUBLE EAGLE DR
UNIT 103
WOODRIDGE, IL60517-5428
 Phone: 630-663-9811
 Fax: 630-663-9018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular-Interventional Technology

2471C1101X
Indicates primary specialty

NPI Profile & details for DAVID G MIDLICK · (Male)

NPI # 1477673275
Status Active
Credentials C.C.T,BA
Entity Individual
Enumeration date 03/29/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IL Medicaid 364429849001
  • IL Other BLUE CROSS 02230032
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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