# MIDWESTERN REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cancer Teatment Centers of America
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730392424
- **Authorized official:** MR. STANISLAV MARAVILLA PT (DIRECTOR OF REHABILITATION SERVICES)
- **Authorized official phone:** (847) 872-6232

## Contact information

- **Practice address:** 2520 ELISHA AVE, ZION, IL 60099-2676
- **Practice address phone:** (847) 872-4561
- **Practice address fax:** (847) 872-6176
- **Mailing address:** 2520 ELISHA AVE, ZION, IL 60099-2676
- **Mailing address phone:** (847) 872-4561
- **Mailing address fax:** (847) 872-6176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020