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Organization
NORTH SHORE SURGICAL SUITES, LLC
Active
Organization
NORTH SHORE SURGICAL SUITES, LLC
Active
Other names
North Shore Surgical Suites
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 360-9111
Entity
Organization
Contact information
Practice address
8400 LAKEVIEW PARKWAY, SUITE 800, PLEASANT PRAIRIE, WI 53158-5819
(708) 275-7799
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(972) 763-3859
(972) 920-3445
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/01/2017
Last updated
09/05/2024
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