Organization
MIDWEST MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L BAUER CEO (CEO)
(815) 777-1340
Entity
Organization
Contact information
Practice address
117 N MAIN ST, ELIZABETH, IL 61028-8800
(815) 858-2238
(815) 858-2239
Mailing address
1 MEDICAL CENTER DR, GALENA, IL 61036-8118
(815) 777-1340
(815) 776-7274
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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