Organization
MIDWEST WELLNESS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MASUKAWA (OWNER)
(847) 530-7310
Entity
Organization
Contact information
Practice address
405 E CONGRESS PKWY STE C, STE C, CRYSTAL LAKE, IL 60014-6229
(847) 530-7310
Mailing address
405 E CONGRESS PKWY STE C, CRYSTAL LAKE, IL 60014-6229
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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