# HYDE PARK SURGICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205214103
- **Authorized official:** MELISSA RICE (ADMINSITRATOR)
- **Authorized official phone:** (773) 752-6340

## Contact information

- **Practice address:** 1644 E 53RD ST, CHICAGO, IL 60615-4210
- **Practice address phone:** (773) 752-6340
- **Practice address fax:** (773) 752-6368
- **Mailing address:** 1644 E 53RD STREET, CHICAGO, IL 60615-4210
- **Mailing address phone:** (773) 752-6340
- **Mailing address fax:** (773) 752-6368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 036130154 | IL | Yes |

## Other

- **Enumeration date:** 05/11/2015
- **Last updated:** 08/11/2021