# MIDWEST AMBULATORY CARE LLC

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

## Provider details

- **NPI number:** 1720505787
- **Authorized official:** IAN R BELTON DC (MANAGER)
- **Authorized official phone:** (773) 358-8600

## Contact information

- **Practice address:** 1212 N LA SALLE DR STE 100, CHICAGO, IL 60610-2379
- **Practice address phone:** (312) 241-7897
- **Practice address fax:** (312) 896-1450
- **Mailing address:** 301 W GRAND AVE STE 367, CHICAGO, IL 60654-4640
- **Mailing address phone:** (312) 241-7897
- **Mailing address fax:** (312) 896-1450

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2017
- **Last updated:** 08/09/2021