NPI Provider: 1598700841
Contact Name: Kuyder James
Position: CEO
Phone: (708) 478-8889
Southwest Surgery Center Llc Information:
Southwest Surgery Center Llc organization have npi 1598700841, taxonomy code is 261Q00000X with license number is 7002595 in . This Business address located in 19110 Darvin Drive, Mokena, IL 60448 Illinois.
Practice Location
Address: 19110 Darvin Drive, Mokena, IL 60448
Phone: (708) 478-8889
Business Location
Address: 19110 Darvin Drive, Mokena, IL 60448
Phone: (708) 478-8889
Fax: (708) 478-8507
Taxonomy
Taxonomy Code: 261Q00000X
License Number: 7002595
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 6/19/2006
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