# MIDWEST EXPRESS CARE 3 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Loc \#1: Blue Island
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184158354
- **Authorized official:** MR. MILAP SHAH (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (708) 631-2781

## Contact information

- **Practice address:** 12200 WESTERN AVE, BLUE ISLAND, IL 60406-1398
- **Practice address phone:** (708) 631-2781
- **Practice address fax:** (708) 631-2783
- **Mailing address:** 12200 WESTERN AVE, BLUE ISLAND, IL 60406-1398
- **Mailing address phone:** (708) 631-2781
- **Mailing address fax:** (708) 631-2783

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2017
- **Last updated:** 04/14/2017
