# METRO NORTH SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** METRO NORTH SURGERY CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508464074
- **Legal business name:** METRO NORTH SURGERY CENTER
- **Authorized official:** JAMIE L VANDENELZEN DC (OWNER)
- **Authorized official phone:** (920) 217-6052

## Contact information

- **Practice address:** 2651 N LARAMIE AVE, CHICAGO, IL 60639-1613
- **Practice address phone:** (920) 217-6052
- **Mailing address:** 106 N KNIGHT AVE, PARK RIDGE, IL 60068-3108
- **Mailing address phone:** (920) 217-6052

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2020
- **Last updated:** 10/15/2020