Organization Active NPI

Midwest Ambulatory Care LLC

  • Ambulatory Surgical Clinic/Center
  • Chicago, IL
National Provider Identifier
1720505787
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MIDWEST AMBULATORY CARE LLC
Practice address
1212 N la Salle Dr Ste 100
Chicago, IL 60610-2379
Phone
(312) 241-7897
Fax
(312) 896-1450
NPI assigned
Aug 29, 2017
Last updated
Aug 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Ian R Belton, DCNPI 1457423774
Title
Manager
Phone
(773) 358-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1212 N la Salle Dr Ste 100
Chicago, IL 60610-2379

Mailing address

301 W Grand Ave Ste 367
Chicago, IL 60654-4640
Phone (312) 241-7897

National Provider Directory

National Provider Directory

Locations

1212 N La Salle Dr
Ste 100
Chicago, IL 60610
Phone (312) 241-7897

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1720505787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W GRAND AVE STE 367",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544640",
            "telephone_number": "312-241-7897",
            "fax_number": "312-896-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N LA SALLE DR STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102379",
            "telephone_number": "312-241-7897",
            "fax_number": "312-896-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST AMBULATORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-358-8600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.