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Organization
SUBURBAN SURGICAL SERVICES
Active
Organization
SUBURBAN SURGICAL SERVICES
Active
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
900 W. ROUTE 22, SUITE 120A, LAKE ZURICH, IL 60047-3416
(847) 550-0040
(847) 550-0022
Mailing address
900 W. ROUTE 22, SUITE 120A, LAKE ZURICH, IL 60047-3416
(847) 550-0040
(847) 550-0022
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D6144-486-6
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D6144-486-6
CORP #
IL
Enumeration date
10/25/2006
Last updated
08/22/2020
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