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NPI 1366776296

OrganizationActive

Midwest Care Mattoon North LLC

NPI 1366776296 · Point of Service · Mattoon, IL

Provider details

NPI number: 1366776296
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Authorized official: Howard Kang, Vp of Accounting and Finance

Practice location

1920 Brookstone Ln

Mattoon, IL 61938-6105

Phone: (217) 235-5881

More IL providers

Mailing address

78 Centennial Loop

Eugene, OR 97401-7900

Registry dates

Enumerated: 2009-09-24
Last updated: 2009-09-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Midwest Care Mattoon North LLC — NPI 1366776296, Mattoon, IL | NPI Central