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	:	1912793688
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	:	2508 W 94TH ST
Second Line	:
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-2818
Country	:	US
Telephone Number	:	708-470-7383
Fax Number	:

Authorized Official
Title or Position	:	CC MANAGER
Name	:	JULIE ANN BUSH
Credential	:
Telephone Number	:	262-496-0361

Provider Enumeration Date	:	04/17/2025
Last Update Date	:	04/17/2025

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Directions to “MIDWEST EXPRESS CARE 2, INC ” Practice Location

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