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Organization
MIDWEST EXPRESS CARE 2, INC
Active
Organization
MIDWEST EXPRESS CARE 2, INC
Active
Parent organization
MIDWEST EXPRESS CARE 2, INC
Other names
Midwest Express Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST EXPRESS CARE 2, INC
Authorized official
JUDITH SCOTT (BILLING MANGER)
(630) 581-5372
Entity
Organization
Contact information
Practice address
12200 WESTERN AVE, BLUE ISLAND, IL 60406-1398
(630) 581-5372
Mailing address
12200 WESTERN AVE, BLUE ISLAND, IL 60406-1398
(630) 581-5372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036090435
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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