Midwest Care Mattoon North LLC

NPI #1366776296 in Mattoon, Illinois

Provider Information

NPI Number: 1366776296
Entity Type: Organization
Organization Name: Midwest Care Mattoon North LLC
Primary Specialty: Point of Service
Enumeration Date: Sep 24, 2009
Last Updated: Sep 24, 2009

Practice Location

Address: 1920 BROOKSTONE LN
City: Mattoon
State: Illinois
ZIP Code: 61938-6105
Phone: (217) 235-5881

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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