| Organization Name: | MIDWEST ENDOSCOPY CENTER LLC |
| NPI Number: | 1003036310 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DINESH JAIN (PRESIDENT) |
| Mailing Address: | 1243 Rickert Dr Naperville |
| State: | IL US |
| Postal Code: | 605400954 |
| Phone Number: | 6305276450 |
| Fax Number: | 6305276456 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 09/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 7003127 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |