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Organization
ONTARIO STREET OPERATORY FAC
Active
Organization
ONTARIO STREET OPERATORY FAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WEINZWEIG MD (OWNER)
(312) 642-0400
Entity
Organization
Contact information
Practice address
22 W ONTARIO STREET OPERATORY, CHICAGO, IL 60654
(312) 642-0400
Mailing address
22 W ONTARIO STREET OPERATORY, CHICAGO, IL 60654
(312) 642-0400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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