# MIDWEST EXPRESS CARE 4, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDWEST EXPRESS CARE 4, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154921294
- **Legal business name:** MIDWEST EXPRESS CARE 4, LLC
- **Authorized official:** MILAP SHAH (OWNER)
- **Authorized official phone:** (219) 802-8800

## Contact information

- **Practice address:** 6131 US HIGHWAY 6 STE C, PORTAGE, IN 46368-5058
- **Practice address phone:** (219) 841-9788
- **Practice address fax:** (219) 254-2364
- **Mailing address:** PO BOX 775342, CHICAGO, IL 60677-5342
- **Mailing address phone:** (219) 841-8788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2020
- **Last updated:** 04/21/2021