| Organization Name: | OAK SURGICAL INSTITUTE |
| NPI Number: | 1639224827 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANET BOWER (DIRECTOR) |
| Mailing Address: | 403 S Kennedy Dr Bradley |
| State: | IL US |
| Postal Code: | 609152152 |
| Phone Number: | 8159289999 |
| Fax Number: | 8159288669 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 7002702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |