RUSH-COPLEY SURGICENTER LLC NPI 1962959296

NPI Information

RUSH-COPLEY SURGICENTER, LLC is an ambulatory surgical clinic center in Aurora, IL. RUSH-COPLEY SURGICENTER, LLC NPI is 1962959296. The provider is registered as an organization entity type.
The provider Is Doing Business As Castle Surgicenter.

The provider's business location address is:

2111 OGDEN AVE
AURORA, IL
ZIP 60504-597
Phone: (630) 978-3800
Fax: (630) 862-3086

The provider's authorized official is Ryan Asmus .
The authorized official title is Vice President/secretary and has the following contact phone number (630) 978-6232.

The CLIA number assigned to this NPI record is 14D1004073 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2016 and was last updated on 9/2/2016.

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:

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