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Organization
CENTRAL DUPAGE SURGICAL, INC
Active
Organization
CENTRAL DUPAGE SURGICAL, INC
Active
Other names
Central DuPage Surgical, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DR. ALLAN KIRCHNER-GOMEZ (PRESIDENT)
(630) 233-8343
Entity
Organization
Contact information
Practice address
800 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9040
(630) 233-8343
(630) 233-8346
Mailing address
800 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9040
(630) 233-8343
(630) 233-8346
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
314000000X
Skilled Nursing Facility
—
NULL
Other
Enumeration date
09/02/2020
Last updated
05/03/2023
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