| Organization Name: | METRO CHICAGO SURGICAL ONCOLOGY LLC |
| NPI Number: | 1043501448 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NEIL FRIEDMAN (PRESIDENT) |
| Mailing Address: | 3201 Old Glenview Rd Suite 130 Wilmette |
| State: | IL US |
| Postal Code: | 600912999 |
| Phone Number: | 8476736505 |
| Fax Number: | 8476732099 |
| NPI Enumeration Date: | 04/20/2011 |
| NPI Last Update Date: | 09/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 036080243 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |