Organization Name: | JUSTICE MED SURG CENTER LTD |
NPI Number: | 1467429233 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES A GIANFRANCISCO (CEO/PRESIDENT) |
Mailing Address: | 9050 W. 81st Street Justice |
State: | IL US |
Postal Code: | 60458 |
Phone Number: | 7085943500 |
Fax Number: | 7089249322 |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 06/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 7002744 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |