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Organization
INDIANA UNIVERSITY HEALTH LAKESHORE SURGICARE LLC
Active
Organization
INDIANA UNIVERSITY HEALTH LAKESHORE SURGICARE LLC
Active
Other names
CNI SURGICARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUDSTEINN T THORDARSON N/A (PRESIDENT)
(219) 326-2555
Entity
Organization
Contact information
Practice address
3111 VILLAGE POINTE, CHESTERTON, IN 46304-9689
(219) 983-1401
(219) 929-1408
Mailing address
3111 VILLAGE POINTE, CHESTERTON, IN 46304-9689
(219) 983-1401
(219) 929-1408
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
13-011186-1
IN
261QA1903X
Ambulatory Surgical Clinic/Center
—
IN
Other
Enumeration date
03/31/2010
Last updated
08/07/2013
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