SURGICORE INC. NPI 1154412120

NPI Information

SURGICORE, INC. is an ambulatory surgical clinic center in Chicago, IL. SURGICORE, INC. NPI is 1154412120. The provider is registered as an organization entity type.

The provider's business location address is:

10547 S EWING AVE
CHICAGO, IL
ZIP 60617-220
Phone: (773) 221-1690
Fax: (773) 221-1675

The provider's authorized official is Michael Andrew Wood .
The authorized official title is Medical Director and has the following contact phone number (773) 221-1690.

The CLIA number assigned to this NPI record is 14D0927072 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/11/2011.

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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