# ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tinley Woods Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316009194
- **Authorized official:** MR. RONALD P LADNIAK (ADMINISTRATOR)
- **Authorized official phone:** (630) 852-9300

## Contact information

- **Practice address:** 18200 S. LAGRANGE RD, TINLEY PARK, IL 60487
- **Practice address phone:** (708) 570-2490
- **Practice address fax:** (708) 570-2499
- **Mailing address:** 18200 S. LAGRANGE RD, TINLEY PARK, IL 60487
- **Mailing address phone:** (708) 570-2490
- **Mailing address fax:** (708) 570-2499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7002652 | IL | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 01/25/2010
