Organization
MIDWEST SURGICAL CARE CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD CEVENE DC (CLINIC DIRECTOR)
(815) 639-9900
Entity
Organization
Contact information
Practice address
6451 E RIVERSIDE BLVD, SUITE 103A, ROCKFORD, IL 61114-4421
(815) 639-9900
(815) 639-9860
Mailing address
6451 E RIVERSIDE BLVD, SUITE 103A, ROCKFORD, IL 61114-4421
(815) 639-9900
(815) 639-9860
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IL
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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