# DEVONSURG PROCEDURE CENTERS, LTD.

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

## Provider details

- **NPI number:** 1295039907
- **Authorized official:** DR. JOHN V PRUNSKIS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (630) 250-4542

## Contact information

- **Practice address:** 650 E DEVON AVE STE 152A, ITASCA, IL 60143-1265
- **Practice address phone:** (630) 250-4542
- **Practice address fax:** (630) 250-4543
- **Mailing address:** 650 E DEVON AVE STE 152A, ITASCA, IL 60143-1265
- **Mailing address phone:** (630) 250-4542
- **Mailing address fax:** (630) 250-4543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2011
- **Last updated:** 01/10/2011
