# MIDWEST SURGICAL CARE CENTER, LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1366638751
- **Authorized official:** DR. TODD CEVENE DC (CLINIC DIRECTOR)
- **Authorized official phone:** (815) 639-9900

## Contact information

- **Practice address:** 6451 E RIVERSIDE BLVD, SUITE 103A, ROCKFORD, IL 61114-4421
- **Practice address phone:** (815) 639-9900
- **Practice address fax:** (815) 639-9860
- **Mailing address:** 6451 E RIVERSIDE BLVD, SUITE 103A, ROCKFORD, IL 61114-4421
- **Mailing address phone:** (815) 639-9900
- **Mailing address fax:** (815) 639-9860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 09/19/2007