# DEERPATH AMBULATORY SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deerpath Orthopedic Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215040464
- **Authorized official:** ASHLEY HILLIARD (ADMINISTRATOR)
- **Authorized official phone:** (815) 318-5626

## Contact information

- **Practice address:** 1051 W US ROUTE 6, MORRIS, IL 60450
- **Practice address phone:** (815) 318-5666
- **Practice address fax:** (815) 318-5676
- **Mailing address:** 1051 W US ROUTE 6, MORRIS, IL 60450-3349
- **Mailing address phone:** (815) 318-5666
- **Mailing address fax:** (815) 318-5676

## Taxonomy

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

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 09/02/2022