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Organization
CHESTERTON SURGERY CENTER LLC
Active
Organization
CHESTERTON SURGERY CENTER LLC
Active
Other names
Northwest Health Lakeshore Surgicare
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MUSIC (AO-DIRECTOR PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
3111 VILLAGE PT, CHESTERTON, IN 46304-9689
(219) 983-1401
(219) 929-1408
Mailing address
3111 VILLAGE PT, CHESTERTON, IN 46304-9689
(219) 983-1401
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/10/2016
Last updated
08/21/2024
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