Western Avenue Surgical Associates, Llc in Chicago - Ambulatory Surgical
Western Avenue Surgical Associates, Llc - NPI 1285859595
Western Avenue Surgical Associates, Llc is a Ambulatory Surgical in Chicago, Illinois. Western Avenue Surgical Associates, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Western Avenue Surgical Associates, Llc is 1285859595. The last update date is 2009-05-06.
Western Avenue Surgical Associates, Llc's current location address is 712 N Dearborn St, Chicago, Illinois. You can contact this provider via phone number 3129811297. The mailing address for Western Avenue Surgical Associates, Llc is 712 N Dearborn St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Avenue Surgical Associates, Llc |
|---|---|
| Address | 712 N Dearborn St, Chicago, Illinois |
| Phone Number | 3129811297 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-OWNER |
|---|---|
| Authorized Official Name | Wiesman Gary |
| Credentials | M.D. |
| Telephone Number | 3129811297 |
NPI Number Detail
| NPI Number | 1285859595 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2009-05-06 |
Provider Mailing Address Detail
| Address | 712 N Dearborn St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606543818 |
| Phone Number | 3129811297 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Western Avenue Surgical Associates, Llc?
The Western Avenue Surgical Associates, Llc has been issued the NPI (National Provider Identifier) 1285859595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Western Avenue Surgical Associates, Llc's facilities are geographically located?
The facilities of Western Avenue Surgical Associates, Llc are physically situated at the following location: 712 N Dearborn St, Chicago, IL, 606543818.
What is Western Avenue Surgical Associates, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Western Avenue Surgical Associates, Llc's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.
On what date did Western Avenue Surgical Associates, Llc receive its 1285859595 assignment from the Centers for Medicare & Medicaid Services?
The Western Avenue Surgical Associates, Llc was assigned its 1285859595 on 2007-04-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Western Avenue Surgical Associates, Llc's information last updated?
The Western Avenue Surgical Associates, Llc's information was last updated on 2009-05-06.
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