Organization
MIDWEST AMBULATORY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN R BELTON DC (MANAGER)
(773) 358-8600
Entity
Organization
Contact information
Practice address
1212 N LA SALLE DR STE 100, CHICAGO, IL 60610-2379
(312) 241-7897
(312) 896-1450
Mailing address
301 W GRAND AVE STE 367, CHICAGO, IL 60654-4640
(312) 241-7897
(312) 896-1450
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/09/2021
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