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Organization
DEVONSURG PROCEDURE CENTERS, LTD.
Active
Organization
DEVONSURG PROCEDURE CENTERS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN V PRUNSKIS M.D. (MEDICAL DIRECTOR)
(630) 250-4542
Entity
Organization
Contact information
Practice address
650 E DEVON AVE STE 152A, ITASCA, IL 60143-1265
(630) 250-4542
(630) 250-4543
Mailing address
650 E DEVON AVE STE 152A, ITASCA, IL 60143-1265
(630) 250-4542
(630) 250-4543
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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