Evanston Surgical Center Llc in Evanston - Surgery
Evanston Surgical Center Llc - NPI 1003081522
Evanston Surgical Center Llc is a Surgery in Evanston, . Evanston Surgical Center Llc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Evanston Surgical Center Llc is 1003081522. The last update date is 2008-10-20.
Evanston Surgical Center Llc's current location address is 196 Arrowhead Dr, Evanston, . You can contact this provider via phone number 4356139500 and fax number 4356139414. The mailing address for Evanston Surgical Center Llc is 196 Arrowhead Dr, Evanston, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evanston Surgical Center Llc |
|---|---|
| Address | 196 Arrowhead Dr, Evanston, |
| Phone Number | 4356139500 |
| Fax Number | 4356139414 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/MD |
|---|---|
| Authorized Official Name | O'Connor J Michael |
| Telephone Number | 3077891390 |
NPI Number Detail
| NPI Number | 1003081522 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2008-10-20 |
Provider Mailing Address Detail
| Address | 196 Arrowhead Dr |
|---|---|
| City | Evanston |
| State | (WY) |
| Post Code | 829308752 |
| Phone Number | 4356139500 |
| Fax Number | 4356139414 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 5079A |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1952367450 | WY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evanston Surgical Center Llc by the Centers for Medicare & Medicaid Services?
The Evanston Surgical Center Llc has been issued the NPI (National Provider Identifier) 1003081522 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Evanston Surgical Center Llc?
The Evanston Surgical Center Llc is physically situated at 196 Arrowhead Dr, in the city of Evanston, state of WY, with the postal code 829308752.
What is the area of specialization for Evanston Surgical Center Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Evanston Surgical Center Llc is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
When did Evanston Surgical Center Llc receive its 1003081522 assignment?
The Evanston Surgical Center Llc was assigned its 1003081522 on 2008-04-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Evanston Surgical Center Llc most recently updated or revised?
The information pertaining to Evanston Surgical Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-20.