# SUBURBAN SURGICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Shore Ambulatory Sergical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417036021
- **Authorized official:** MR. SALVADOR YUNEZ M.D. (OWNER & CEO)
- **Authorized official phone:** (847) 550-0040

## Contact information

- **Practice address:** 330 W FRONTAGE RD, SECOND FLOOR, NORTHFIELD, IL 60093-3467
- **Practice address phone:** (847) 550-0040
- **Practice address fax:** (847) 550-0022
- **Mailing address:** 900 W. ROUTE 22, LAKE ZURICH, IL 60047-3416
- **Mailing address phone:** (847) 550-0040
- **Mailing address fax:** (847) 784-0045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D61444866 | IL | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D61444866 | CORP | IL |