MEDICARE: MIDWEST EXPRESS CARE 2 INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1629925763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST EXPRESS CARE 2 INC

Provider Business Mailing Address
First Line	:	PO BOX 775253
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-5253
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3339 N HARLEM AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-3602
Country	:	US
Telephone Number	:	773-432-8312
Fax Number	:

Authorized Official
Title or Position	:	CCS
Name	:	JENNIFER BATY
Credential	:
Telephone Number	:	605-789-6574

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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