Midwest Care Fairfield

NPI #1164756094 in Fairfield, Illinois

Provider Information

NPI Number
1164756094
Entity Type
Organization
Organization Name
Midwest Care Fairfield
Primary Specialty
Point of Service
Enumeration Date
Sep 24, 2009
Last Updated
Sep 24, 2009

Practice Location

Address
315 MARKET AVE
ZIP Code
62837-2611
Phone
(618) 842-5875

Authorized Official

Name
HOWARD KANG
Title
VP OF ACCOUNTING AND FINANCE
Phone
(541) 747-3373

Specialties & Taxonomy Codes

Specialty
Point of Service

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