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Organization
1800 MCDONOUGH ROAD SURGERY CENTER LLC
Active
Organization
1800 MCDONOUGH ROAD SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIANOOSH JAFARI M.D. (OWNER)
(630) 990-7770
Entity
Organization
Contact information
Practice address
1800 MCDONOUGH RD, SUITE 100, HOFFMAN ESTATES, IL 60192-4566
(847) 742-7272
Mailing address
2607 W 22ND ST, SUITE 48, OAK BROOK, IL 60523-1231
(630) 990-7770
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003116
IL
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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