# CENTRAL DUPAGE SURGICAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central DuPage Surgical, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598379075
- **Authorized official:** DR. DR. ALLAN KIRCHNER-GOMEZ (PRESIDENT)
- **Authorized official phone:** (630) 233-8343

## Contact information

- **Practice address:** 800 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9040
- **Practice address phone:** (630) 233-8343
- **Practice address fax:** (630) 233-8346
- **Mailing address:** 800 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9040
- **Mailing address phone:** (630) 233-8343
- **Mailing address fax:** (630) 233-8346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 05/03/2023