# MIDWEST HEALTHCARE PROVIDERS, INC.

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

## Provider details

- **NPI number:** 1871755405
- **Authorized official:** MS. DAWN WAGNER MSN, RN (OWNER/AGENCY SUPERVISOR)
- **Authorized official phone:** (847) 679-4387

## Contact information

- **Practice address:** 5360 FARGO AVE, SKOKIE, IL 60077-3250
- **Practice address phone:** (847) 679-4387
- **Practice address fax:** (847) 679-4437
- **Mailing address:** 5360 FARGO AVE STE 201, SKOKIE, IL 60077-3250
- **Mailing address phone:** (847) 679-4387
- **Mailing address fax:** (847) 679-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010927 | IL | Yes |

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 02/18/2025