# SOUTHWEST SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Minimally Invasive Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598700841
- **Authorized official:** DEBORAH GARDINER (BOARD MEMBER/MANAGER)
- **Authorized official phone:** (312) 399-8427

## Contact information

- **Practice address:** 19110 DARVIN DRIVE, MOKENA, IL 60448
- **Practice address phone:** (708) 478-8889
- **Practice address fax:** (708) 478-8507
- **Mailing address:** 19110 DARVIN DRIVE, MOKENA, IL 60448
- **Mailing address phone:** (708) 478-8889
- **Mailing address fax:** (708) 478-8507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 7002595 | IL | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 09/29/2021