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Organization
METROEAST ENDOSCOPIC SURGERY CENTER
Active
Organization
METROEAST ENDOSCOPIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEEL AHMED MD (OWNER)
(618) 239-0678
Entity
Organization
Contact information
Practice address
5023 N ILLINOIS ST, SUITE 3, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 233-0700
(618) 235-0471
Mailing address
5023 N ILLINOIS ST, SUITE 3, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 233-0700
(618) 235-0471
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003185
IL
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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