| Organization Name: | ELMWOOD PARK SURGERY CENTER ACQUISITION & DEVELOPMENT LLC |
| NPI Number: | 1194159467 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERESA LARKINS (OR COORDINATOR) |
| Mailing Address: | 1614 N Harlem Ave Elmwood Park |
| State: | IL US |
| Postal Code: | 607074302 |
| Phone Number: | 8478699700 |
| Fax Number: | 8478697979 |
| NPI Enumeration Date: | 08/22/2013 |
| NPI Last Update Date: | 08/22/2013 |
| 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: | |