# MIDWEST MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295126944
- **Authorized official:** TRACY L BAUER CEO (CEO)
- **Authorized official phone:** (815) 777-1340

## Contact information

- **Practice address:** 117 N MAIN ST, ELIZABETH, IL 61028-8800
- **Practice address phone:** (815) 858-2238
- **Practice address fax:** (815) 858-2239
- **Mailing address:** 1 MEDICAL CENTER DR, GALENA, IL 61036-8118
- **Mailing address phone:** (815) 777-1340
- **Mailing address fax:** (815) 776-7274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 02/16/2015