| Midwest Wellness Health Center, Ltd | |
|
3202 Northwest Hwy Suite E Cary IL 60013-3507 | |
| (847) 530-7310 | |
| (847) 660-6310 |
| Full Name | Midwest Wellness Health Center, Ltd |
|---|---|
| Speciality | General Practice |
| Location | 3202 Northwest Hwy, Cary, Illinois |
| Authorized Official Name and Position | Ronald A Masukawa (PRESIDENT) |
| Authorized Official Contact | 8475307310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Wellness Health Center, Ltd 629 David St Lake In The Hills IL 60156-5204 Ph: (847) 530-7310 | Midwest Wellness Health Center, Ltd 3202 Northwest Hwy Suite E Cary IL 60013-3507 Ph: (847) 530-7310 |
| NPI Number | 1053695031 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 10/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053695031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036-105621 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038-007971 (Illinois) | Secondary |
| 208D00000X | General Practice | 042-619859 (Illinois) | Primary |
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