# PHYSICIANS SURGERY CENTER AT GOOD SAMARITAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Samaritan Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285980151
- **Authorized official:** JOON AHN MD (AUTHORIZED OFFICIAL - OWNER)
- **Authorized official phone:** (618) 899-5703

## Contact information

- **Practice address:** 2 GOOD SAMARITAN WAY, STE 200, MOUNT VERNON, IL 62864-2476
- **Practice address phone:** (618) 899-5703
- **Practice address fax:** (618) 899-5704
- **Mailing address:** 2 GOOD SAMARITAN WAY, STE 200, MOUNT VERNON, IL 62864-2476
- **Mailing address phone:** (618) 899-5703
- **Mailing address fax:** (618) 899-5704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7003172 | IL | Yes |

## Other

- **Enumeration date:** 07/30/2012
- **Last updated:** 01/08/2025