# TINLEY PARK SURGICARE

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

## Provider details

- **NPI number:** 1316071715
- **Authorized official:** DR. GARY JOHN THOMAS DPM (PROVIDER)
- **Authorized official phone:** (708) 429-5968

## Contact information

- **Practice address:** 17728 OAK PARK AVE, TINLEY PARK, IL 60477-3949
- **Practice address phone:** (708) 429-5968
- **Mailing address:** 17728 OAK PARK AVE, P.O. BOX 1151, TINLEY PARK, IL 60477-3949
- **Mailing address phone:** (708) 429-5968

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020