# NORTHWEST ENDO CENTER LLC

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

## Provider details

- **NPI number:** 1003260498
- **Authorized official:** MR. STEPHEN O SCOGNA (CEO)
- **Authorized official phone:** (847) 618-5000

## Contact information

- **Practice address:** 1415 S ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60005-3765
- **Practice address phone:** (847) 618-4747
- **Mailing address:** 3060 W SALT CEEK LANE, ARLINGTON HEIGHTS, IL 60005-5027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7003210 | IL | Yes |

## Other

- **Enumeration date:** 04/21/2016
- **Last updated:** 02/28/2017