| Organization Name: | KEYSTONE SURGICARE INC |
| NPI Number: | 1043429277 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTIN R HALL (DIRECTOR OF CENTER) |
| Mailing Address: | 3330 W 177th St Suite 2c Hazel Crest |
| State: | IL US |
| Postal Code: | 604292184 |
| Phone Number: | 7087991144 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 02/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |