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Organization
PHYSICIANS SURGERY CENTER ANESTHESIA
Active
Organization
PHYSICIANS SURGERY CENTER ANESTHESIA
Active
Parent organization
PHYSICIANS SURGERY CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS SURGERY CENTER LLC
Authorized official
PHILLIP L SCHAEFER (BOARD MEMBER)
(618) 549-5361
Entity
Organization
Contact information
Practice address
2601 W MAIN ST, CARBONDALE, IL 62901-1031
(618) 549-5361
Mailing address
2601 W MAIN ST, CARBONDALE, IL 62901-1031
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003128
IL
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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