# MIDWEST HEALTH CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578861621
- **Authorized official:** DR. MARIYA DMYTRIV M.D. (PRESIDENT)
- **Authorized official phone:** (773) 858-7639

## Contact information

- **Practice address:** 1244 N MILWAUKEE AVE, CHICAGO, IL 60622-9317
- **Practice address phone:** (312) 470-6655
- **Practice address fax:** (312) 470-6655
- **Mailing address:** 1244 N MILWAUKEE AVE, CHICAGO, IL 60622-9317
- **Mailing address phone:** (312) 470-6655
- **Mailing address fax:** (312) 470-6655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036120196 | IL | Yes |

## Other

- **Enumeration date:** 03/13/2011
- **Last updated:** 03/13/2011