Elmwood Park Same Day Surgery Llc in Elmwood Park - Ambulatory Surgical

Elmwood Park Same Day Surgery Llc - NPI 1902949613

Elmwood Park Same Day Surgery Llc is a Ambulatory Surgical in Elmwood Park, Illinois. Elmwood Park Same Day Surgery Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Elmwood Park Same Day Surgery Llc is 1902949613. The last update date is 2012-06-27.

Elmwood Park Same Day Surgery Llc's current location address is 1614 N Harlem Ave, Elmwood Park, Illinois. You can contact this provider via phone number 7084525000 and fax number 7084525588. The mailing address for Elmwood Park Same Day Surgery Llc is 1614 N Harlem Ave, Elmwood Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Elmwood Park Same Day Surgery Llc
Address 1614 N Harlem Ave, Elmwood Park, Illinois
Phone Number 7084525000
Fax Number 7084525588
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Zidonis Kim
Telephone Number 3125735800

NPI Number Detail

NPI Number 1902949613
Provider Enumeration Date 2007-02-14
Last Updated Date 2012-06-27

Provider Mailing Address Detail

Address 1614 N Harlem Ave
City Elmwood Park
State Illinois (IL)
Post Code 607074302
Phone Number 7084525000
Fax Number 7084525588

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 7002387
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50405 ID BCBS

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FAQs about Elmwood Park Same Day Surgery Llc

What is the unique 10-digit identifier code issued to Elmwood Park Same Day Surgery Llc by the Centers for Medicare & Medicaid Services?

The Elmwood Park Same Day Surgery Llc has been assigned the NPI (National Provider Identifier) 1902949613 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Elmwood Park Same Day Surgery Llc is geographically located?

The Elmwood Park Same Day Surgery Llc is physically situated at the following location: 1614 N Harlem Ave, Elmwood Park, IL, 607074302.

What is Elmwood Park Same Day Surgery Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Elmwood Park Same Day Surgery 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 the Centers for Medicare & Medicaid Services issue the 1902949613 to Elmwood Park Same Day Surgery Llc?

The Elmwood Park Same Day Surgery Llc received its 1902949613 assignment from the Centers for Medicare & Medicaid Services on 2007-02-14.

When was the information related to Elmwood Park Same Day Surgery Llc most recently updated or refreshed?

The details pertaining to the Elmwood Park Same Day Surgery Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-27.

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