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Organization
SUBURBAN SURGICAL SERVICES
Active
Organization
SUBURBAN SURGICAL SERVICES
Active
Other names
North Shore Ambulatory Sergical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALVADOR YUNEZ M.D. (OWNER & CEO)
(847) 550-0040
Entity
Organization
Contact information
Practice address
330 W FRONTAGE RD, SECOND FLOOR, NORTHFIELD, IL 60093-3467
(847) 550-0040
(847) 550-0022
Mailing address
900 W. ROUTE 22, LAKE ZURICH, IL 60047-3416
(847) 550-0040
(847) 784-0045
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D61444866
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D61444866
CORP
IL
Enumeration date
11/03/2006
Last updated
08/22/2020
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