# PALOS HEALTH SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538647474
- **Authorized official:** MICHAEL MULLEN (VP REV CYCLE)
- **Authorized official phone:** (630) 938-6076

## Contact information

- **Practice address:** 15300 WEST AVE STE 260, ORLAND PARK, IL 60462-4600
- **Practice address phone:** (708) 981-3660
- **Practice address fax:** (708) 981-3661
- **Mailing address:** 15300 WEST AVE STE 260, ORLAND PARK, IL 60462-4600
- **Mailing address phone:** (708) 981-3660
- **Mailing address fax:** (708) 981-3661

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 06/15/2023