ELMHURST OUTPATIENT SURGERY CENTER LLC NPI 1720085384

NPI Information

ELMHURST OUTPATIENT SURGERY CENTER LLC is an ambulatory surgical clinic center in Elmhurst, IL. ELMHURST OUTPATIENT SURGERY CENTER LLC NPI is 1720085384. The provider is registered as an organization entity type.

The provider's business location address is:

1200 S YORK RD
STE 1400
ELMHURST, IL
ZIP 60126-633
Phone: (630) 758-8800
Fax: (630) 758-8805

The provider's authorized official is Tina Madonia Mentz .
The authorized official title is Executive Director and has the following contact phone number (630) 758-8801.

The CLIA number assigned to this NPI record is 14D0962025 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 5/12/2008.

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

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