# CHITTICK SCC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467263426
- **Authorized official:** SHAWN MALLADY (FACILITY DIRECTOR)
- **Authorized official phone:** (217) 398-2020

## Contact information

- **Practice address:** 501 N DUNLAP AVE, SAVOY, IL 61874-8403
- **Practice address phone:** (217) 398-2020
- **Mailing address:** 1104 N VERMILION ST, DANVILLE, IL 61832-3094
- **Mailing address phone:** (217) 398-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/17/2025
- **Last updated:** 02/07/2025