DAVID G. MIDLICK C.C.T,BA – NPI #1477673275
Radiologic Technologist

A radiologic technologist who specializes in cardiovascular interventional technology.

DAVID MIDLICK is a radiologic technologist located in WOODRIDGE, IL. NPPES has assigned the NPI number 1477673275 to DAVID MIDLICK on March 29, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2471C1101X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist, specializing in Cardiovascular-Interventional Technology Radiologic Technologist

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID MIDLICK below.

NPI Profile for
DAVID G. MIDLICK

NPI Number
1477673275
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVID G. MIDLICK
Credentials
C.C.T,BA
Primary location
6686 DOUBLE EAGLE DR
UNIT 103
WOODRIDGE, IL 60517-5428
Phone: (630) 663-9811 Fax: (630) 663-9018
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for DAVID MIDLICK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHER02230032ILBLUE CROSS
MEDICAIDIL364429849001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2471C1101X
- Radiologic Technologist / Cardiovascular-Interventional Technology Radiologic Technologist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.