ADVANCED AMBULATORY SURGICAL CENTER INC NPI 1548390081

NPI Information

ADVANCED AMBULATORY SURGICAL CENTER, INC is an ambulatory surgical clinic center in Chicago, IL. ADVANCED AMBULATORY SURGICAL CENTER, INC NPI is 1548390081. The provider is registered as an organization entity type.

The provider's business location address is:

2333 N HARLEM AVE
CHICAGO, IL
ZIP 60707-718
Phone: (773) 637-1700
Fax: (773) 637-2881

The provider's authorized official is Joanna Brzostowska .
The authorized official title is Coo and has the following contact phone number (773) 637-1700.

The CLIA number assigned to this NPI record is 14D2010602 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 10/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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