# NOVAMED SURGERY CENTER OF OAK LAWN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EyeSouth Surgery Center at Oak Lawn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518967082
- **Authorized official:** CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
- **Authorized official phone:** (916) 990-7590

## Contact information

- **Practice address:** 6311 W 95TH ST, OAK LAWN, IL 60453-2201
- **Practice address phone:** (708) 499-3355
- **Practice address fax:** (708) 425-5654
- **Mailing address:** 6311 W 95TH ST, OAK LAWN, IL 60453-2201
- **Mailing address phone:** (708) 499-3355
- **Mailing address fax:** (708) 425-5654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7002843 | IL | Yes |

## Other

- **Enumeration date:** 07/27/2005
- **Last updated:** 09/11/2024