| Midwest Medical Center | |
|
117 N Main St Elizabeth IL 61028-8800 | |
| (815) 858-2238 | |
| (815) 858-2239 |
| Full Name | Midwest Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 117 N Main St, Elizabeth, Illinois |
| Authorized Official Name and Position | Tracy L Bauer (CEO) |
| Authorized Official Contact | 8157771340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Medical Center 1 Medical Center Dr Galena IL 61036-8118 Ph: (815) 777-1340 | Midwest Medical Center 117 N Main St Elizabeth IL 61028-8800 Ph: (815) 858-2238 |
| NPI Number | 1295126944 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 02/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295126944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
Midwest Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 N Main St, Elizabeth, IL 61028 Phone: 815-858-2238 Fax: 815-858-2239 |