# VALLEY AMBULATORY SURGERY CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104819424
- **Authorized official:** JENNIFER B. BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5900

## Contact information

- **Practice address:** 2475 DEAN ST, ST CHARLES, IL 60175
- **Practice address phone:** (630) 584-9800
- **Practice address fax:** (630) 584-9805
- **Mailing address:** 2475 DEAN ST, ST CHARLES, IL 60175-4831
- **Mailing address phone:** (630) 584-9800
- **Mailing address fax:** (630) 584-9805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7001217 | IL | Yes |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 09/30/2019