Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Midwest Lakes Medical Center, SC

Organization Internal Medicine Physician · NPI 1417121500

Midwest Lakes Medical Center, SC is an Internal Medicine Physician in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

690 E Terra Cotta Ave Ste D
Crystal Lake, IL 60014-3605
Phone: (815) 455-8600
Fax: (815) 455-8601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 36097343 (IL)

Record details

NPI number1417121500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mukesh Arora — Doctor · (815) 455-8600
NPI enumeratedApril 18, 2008
Last updated in NPPESAugust 19, 2014
Mailing address690 E Terra Cotta Ave, Suite D, Crystal Lake, IL 60014-3605

Other providers in Crystal Lake