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MIDWEST EXPRESS CARE 3 LLC NPI 1184158354


NPI Information

NPI: 1184158354
Provider Name: MIDWEST EXPRESS CARE 3 LLC

Doing Business As: LOC #1: BLUE ISLAND

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
12200 WESTERN AVE
BLUE ISLAND, IL
ZIP 60406
Phone: (708) 631-2781
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MIDWEST EXPRESS CARE 3 LLC is an urgent care clinic center in Blue Island, IL. MIDWEST EXPRESS CARE 3 LLC NPI is 1184158354. The provider is registered as an organization entity type.
The provider Is Doing Business As Loc #1: Blue Island.

The provider's business location address is:

12200 WESTERN AVE
BLUE ISLAND, IL
ZIP 60406-398
Phone: (708) 631-2781
Fax: (708) 631-2783

The provider's authorized official is Milap Shah .
The authorized official title is Owner/administrator and has the following contact phone number (708) 631-2781.

The enumeration date for this NPI number is 4/14/2017 and was last updated on 4/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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