Provider Demographics
NPI:1386766939
Name:MIDWEST HOSPITALISTS GROUP, INC.
Entity type:Organization
Organization Name:MIDWEST HOSPITALISTS GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ORANU
Authorized Official - Middle Name:G
Authorized Official - Last Name:IBEKIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-738-3849
Mailing Address - Street 1:P.O. BOX 10848
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46411-0848
Mailing Address - Country:US
Mailing Address - Phone:219-738-3849
Mailing Address - Fax:219-795-1198
Practice Address - Street 1:751 E. 81ST PLACE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410
Practice Address - Country:US
Practice Address - Phone:219-738-3849
Practice Address - Fax:219-795-1198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN203850Medicare ID - Type Unspecified