# MIDWEST EXPRESS CARE 4, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDWEST EXPRESS CARE 4, LLC
- **Other names:** Midwest Express Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811571052
- **Legal business name:** MIDWEST EXPRESS CARE 4, LLC
- **Authorized official:** MILAP SHAH (OWNER)
- **Authorized official phone:** (219) 802-8800

## Contact information

- **Practice address:** 1923 W GLEN PARK AVE, GRIFFITH, IN 46319-3703
- **Practice address phone:** (219) 237-2481
- **Practice address fax:** (219) 237-2496
- **Mailing address:** PO BOX 775342, CHICAGO, IL 60677-5342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/12/2021
- **Last updated:** 05/12/2021