# NORTHWIND MEDICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1619551033
- **Authorized official:** PAVAN SURTI (OWNER)
- **Authorized official phone:** (630) 386-6612

## Contact information

- **Practice address:** 6742 LAKEVIEW CT, WOODRIDGE, IL 60517-1437
- **Practice address phone:** (630) 386-6612
- **Mailing address:** 6742 LAKEVIEW CT, WOODRIDGE, IL 60517-1437
- **Mailing address phone:** (630) 386-6612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2021
- **Last updated:** 05/11/2021