# GRAND AVENUE SURGICAL CENTER, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** J N R ASSOCIATES, INC.
- **Other names:** Surgicare of Chicago
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144482290
- **Legal business name:** J N R ASSOCIATES, INC.
- **Authorized official:** MR. JAVAD NERCY JAFARI M.B.A. (ADMINISTRATOR & COO)
- **Authorized official phone:** (312) 222-5610

## Contact information

- **Practice address:** 17 W GRAND AVE, CHICAGO, IL 60610-4306
- **Practice address phone:** (312) 222-5610
- **Practice address fax:** (312) 661-1771
- **Mailing address:** 17 W GRAND AVE, CHICAGO, IL 60610-4306
- **Mailing address phone:** (312) 222-5610
- **Mailing address fax:** (312) 661-1771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7003133 | IL | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 08/05/2019