# 1800 MCDONOUGH ROAD SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1053597161
- **Authorized official:** KIANOOSH JAFARI M.D. (OWNER)
- **Authorized official phone:** (630) 990-7770

## Contact information

- **Practice address:** 1800 MCDONOUGH RD, SUITE 100, HOFFMAN ESTATES, IL 60192-4566
- **Practice address phone:** (847) 742-7272
- **Mailing address:** 2607 W 22ND ST, SUITE 48, OAK BROOK, IL 60523-1231
- **Mailing address phone:** (630) 990-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7003116 | IL | Yes |

## Other

- **Enumeration date:** 01/18/2008
- **Last updated:** 01/18/2008