Organization Name: | NORTH SHORE SAME DAY SURGERY LLC |
NPI Number: | 1134262868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHERINE L. REED (OFFICER, AUTHORIZED OFFICIAL) |
Mailing Address: | 3725 W Touhy Ave Lincolnwood |
State: | IL US |
Postal Code: | 607122603 |
Phone Number: | 8473247770 |
Fax Number: | 8473247762 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 06/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 7002199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |