Midwest Care Olney Eg LLC

NPI #1881928729 in Olney, Illinois

Provider Information

NPI Number: 1881928729
Entity Type: Organization
Organization Name: Midwest Care Olney Eg LLC
Primary Specialty: Point of Service
Enumeration Date: Sep 24, 2009
Last Updated: Sep 24, 2009

Practice Location

Address: 1301 N EAST ST
City: Olney
State: Illinois
ZIP Code: 62450-2430
Phone: (618) 395-4663

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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