1915-25 95TH ST., LLC is an ambulatory surgical clinic center in Chicago, IL. 1915-25 95TH ST., LLC NPI is 1447784921. The provider is registered as an organization entity type.
The provider's business location address is:
1915 E 95TH ST
CHICAGO, IL
ZIP 60617
Phone: (630) 571-1100
Fax: (630) 504-6265
The provider's authorized official is Ravish Shah .
The authorized official title is Office Manager and has the following contact phone number (630) 571-1100.
The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/12/2017.