# OAK LAWN IL ENDOSCOPY ASC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1679816342
- **Authorized official:** MR. JEFFREY E SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
- **Practice address phone:** (708) 425-2552
- **Practice address fax:** (708) 425-9606
- **Mailing address:** 1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 240-3741
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 04/01/2013
- **Last updated:** 06/22/2022