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Organization
NORTHWEST ENDO CENTER LLC
Active
Organization
NORTHWEST ENDO CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN O SCOGNA (CEO)
(847) 618-5000
Entity
Organization
Contact information
Practice address
1415 S ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60005-3765
(847) 618-4747
Mailing address
3060 W SALT CEEK LANE, ARLINGTON HEIGHTS, IL 60005-5027
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003210
IL
Other
Enumeration date
04/21/2016
Last updated
02/28/2017
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