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Organization
LOGAN SQUARE SURGERY CENTER
Active
Organization
LOGAN SQUARE SURGERY CENTER
Active
Other names
LOGAN SQUARE SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI NASSAR (MANAGER)
(773) 227-3950
Entity
Organization
Contact information
Practice address
2004 N PULASKI RD, CHICAGO, IL 60639-3767
(773) 227-3950
(773) 252-3050
Mailing address
2006 N PULASKI RD, CHICAGO, IL 60639-3767
(773) 227-3950
(773) 252-3050
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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