| Organization Name: | SOUTHWESTERN MEDICAL CENTER, LLC |
| NPI Number: | 1790710390 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NADER BOZORGI (CHAIRMAN/PRESIDENT) |
| Mailing Address: | 7456 S State Rd Third Floor Bedford Park |
| State: | IL US |
| Postal Code: | 606386621 |
| Phone Number: | 7734459696 |
| Fax Number: | 7734459590 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 07/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |