# MIDWEST CYGNETAZURE, INC

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

## Provider details

- **NPI number:** 1952633836
- **Authorized official:** MS. GUDRUN VIGDIS JONSDOTTIR (PRESIDENT)
- **Authorized official phone:** (847) 458-0625

## Contact information

- **Practice address:** 1474 MERCHANT DR, ALGONQUIN, IL 60102-5917
- **Practice address phone:** (847) 458-0625
- **Practice address fax:** (847) 458-8822
- **Mailing address:** 1474 MERCHANT DR, ALGONQUIN, IL 60102-5917
- **Mailing address phone:** (847) 458-0625
- **Mailing address fax:** (847) 458-8822

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 09/03/2014