Midwest Care Rantoul LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

MIDWEST CARE RANTOUL LLC

Practice address

300 Twin Lakes Dr
Rantoul, IL 61866-2663

Phone

(217) 892-5871

NPI assigned

Sep 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Howard Kang

Title

VP of Accounting and Finance

Phone

(541) 747-3373

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1386978211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CENTENNIAL LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TWIN LAKES DR",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618662663",
            "telephone_number": "217-892-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CARE RANTOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "VP OF ACCOUNTING AND FINANCE",
        "authorized_official_telephone_number": "541-747-3373"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Rantoul, IL
• Providers in Rantoul, IL by specialty
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.