GRAND AVENUE SURGICAL CENTER, LTD. is an ambulatory surgical clinic center in Chicago, IL. GRAND AVENUE SURGICAL CENTER, LTD. NPI is 1144482290. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgicare Of Chicago.
The provider's business location address is:
17 W GRAND AVE
CHICAGO, IL
ZIP 60610-306
Phone: (312) 222-5610
Fax: (312) 661-1771
The provider's authorized official is Javad Nercy Jafari .
The authorized official title is Administrator & Coo and has the following contact phone number (312) 222-5610.
The CLIA number assigned to this NPI record is 14D1079104 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/30/2008 and was last updated on 8/5/2019.