Basic Information
| Provider Information | |||||||||
| NPI: | 1972727436 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MIDWEST ACUTE CARE CONSULTANTS, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11155 DUNN RD STE 315 | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631366150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3143557500 | ||||||||
| FaxNumber: | 3143553287 | ||||||||
| Practice Location | |||||||||
| Address1: | 3844 S LINDBERGH BLVD STE 220 | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631271369 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3149911118 | ||||||||
| FaxNumber: | 3149911120 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | LEVY | ||||||||
| AuthorizedOfficialFirstName: | NAT | ||||||||
| AuthorizedOfficialMiddleName: | T | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3143557500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | 101229 | MO | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.