NPI: 1205234143
Provider Name: ORTHOTEC SURGERY CENTER, INC
Doing Business As: ELMHURST FOOT & ANKLE SURGERY CENTER, INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
CLIA Number: 14D2087927
Address:
340 W BUTTERFIELD RD
SUITE 1B
ELMHURST, IL
ZIP 60126
Phone: (331) 209-9903
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ORTHOTEC SURGERY CENTER, INC is an ambulatory surgical clinic center in Elmhurst, IL. ORTHOTEC SURGERY CENTER, INC NPI is 1205234143. The provider is registered as an organization entity type.
The provider Is Doing Business As Elmhurst Foot & Ankle Surgery Center, Inc.
The provider's business location address is:
340 W BUTTERFIELD RD
SUITE 1B
ELMHURST, IL
ZIP 60126-047
Phone: (331) 209-9903
Fax: (331) 209-9927
The provider's authorized official is Thomas Carl Carr .
The authorized official title is Chair / Governing Body and has the following contact phone number (312) 860-3112.
The CLIA number assigned to this NPI record is 14D2087927 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/9/2014 and was last updated on 5/24/2021.