# STONE MEDICAL SURGERY CARE CENTER LLC

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

## Provider details

- **NPI number:** 1487774238
- **Authorized official:** DR. MALCOLM D HERZOG DPM (CO-OWNER)
- **Authorized official phone:** (847) 856-7600

## Contact information

- **Practice address:** 7505 GRAND AVE, GURNEE, IL 60031-1551
- **Practice address phone:** (847) 856-7600
- **Mailing address:** PO BOX 388387, CHICAGO, IL 60638-8387

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020