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Organization
METRO NORTH SURGICAL CENTER
Active
Organization
METRO NORTH SURGICAL CENTER
Active
Parent organization
METRO NORTH SURGERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
METRO NORTH SURGERY CENTER
Authorized official
JAMIE L VANDENELZEN DC (OWNER)
(920) 217-6052
Entity
Organization
Contact information
Practice address
2651 N LARAMIE AVE, CHICAGO, IL 60639-1613
(920) 217-6052
Mailing address
106 N KNIGHT AVE, PARK RIDGE, IL 60068-3108
(920) 217-6052
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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