# LGH-A/GOLF ASTC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOLF SURGICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124029384
- **Authorized official:** MS. MICHELLE KIRKMAN (CEO)
- **Authorized official phone:** (847) 321-6698

## Contact information

- **Practice address:** 8901 GOLF RD, DES PLAINES, IL 60016
- **Practice address phone:** (847) 299-2273
- **Practice address fax:** (847) 299-7861
- **Mailing address:** 8901 GOLF RD, DES PLAINES, IL 60016-6850
- **Mailing address phone:** (847) 299-2273
- **Mailing address fax:** (847) 299-7861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7002231 | IL | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 07/17/2018