Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Midwest Medical Institute SC

Organization Family Medicine Physician · NPI 1811792419

Midwest Medical Institute SC provides Family Medicine Physician services in Rockford, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5251 Crestdale Dr
Rockford, IL 61114-6413
Phone: (815) 209-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1811792419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vasil Nika — Owner · (815) 209-7050
NPI enumeratedFebruary 17, 2025
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address5251 Crestdale Dr, Rockford, IL 61114-6413

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