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Organization
NOVAMED SURGERY CENTER OF OAK LAWN, LLC
Active
Organization
NOVAMED SURGERY CENTER OF OAK LAWN, LLC
Active
Other names
EyeSouth Surgery Center at Oak Lawn
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
(916) 990-7590
Entity
Organization
Contact information
Practice address
6311 W 95TH ST, OAK LAWN, IL 60453-2201
(708) 499-3355
(708) 425-5654
Mailing address
6311 W 95TH ST, OAK LAWN, IL 60453-2201
(708) 499-3355
(708) 425-5654
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002843
IL
Other
Enumeration date
07/27/2005
Last updated
09/11/2024
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