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Organization
MIDWEST SURGICAL CARE CENTER, LTD
Active
Organization
MIDWEST SURGICAL CARE CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD CEVENE DC (CLINIC DIRECTOR)
(815) 639-9900
Entity
Organization
Contact information
Practice address
6451 E RIVERSIDE BLVD, SUITE 103A, ROCKFORD, IL 61114-4421
(815) 639-9900
(815) 639-9860
Mailing address
6451 E RIVERSIDE BLVD, SUITE 103A, ROCKFORD, IL 61114-4421
(815) 639-9900
(815) 639-9860
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IL
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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