# KING CITY SURGERY CENTER, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003005463
- **Authorized official:** DR. ANTON SCHITTEK M.D.,F.A.C.S. (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (618) 244-0050

## Contact information

- **Practice address:** 2605 MAIN ST, MOUNT VERNON, IL 62864-2372
- **Practice address phone:** (618) 244-0050
- **Practice address fax:** (618) 244-0061
- **Mailing address:** 2605 MAIN ST, MOUNT VERNON, IL 62864-2372
- **Mailing address phone:** (618) 244-0050
- **Mailing address fax:** (618) 244-0061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | IL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | IL | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 10/22/2007