Organization
MIDWESTERN HEALTHCARE LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTUS LEO R HUGO (ADMINISTRATOR)
(630) 205-3467
Entity
Organization
Contact information
Practice address
122 W SAINT CHARLES RD, SUITE 4-B, VILLA PARK, IL 60181-2477
(630) 617-0012
(630) 617-0023
Mailing address
122 W SAINT CHARLES RD, SUITE 4-B, VILLA PARK, IL 60181-2477
(630) 617-0012
(630) 617-0023
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010551
IL
Other
Enumeration date
05/30/2006
Last updated
02/06/2008
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