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Organization
CLINICIANS SURGERY CARE CENTER. LLC.
Active
Organization
CLINICIANS SURGERY CARE CENTER. LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW GEORGE GAROUFALIS DPM (PRESIDENT)
(773) 284-8881
Entity
Organization
Contact information
Practice address
6475 WASHINGTON ST, SUITE 103, GURNEE, IL 60031-4404
(773) 284-8881
Mailing address
PO BOX 388387, CHICAGO, IL 60638-8387
(773) 284-8881
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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