# ELMHURST MEDICAL & SURGICAL CENTER CORPORATION

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

## Provider details

- **NPI number:** 1700188000
- **Authorized official:** JEN GRIMES (ADMINISTRATOR)
- **Authorized official phone:** (630) 495-1240

## Contact information

- **Practice address:** 340 W BUTTERFIELD RD STE 1B, ELMHURST, IL 60126-5047
- **Practice address phone:** (630) 495-1240
- **Practice address fax:** (630) 495-1993
- **Mailing address:** 6 E SAINT CHARLES RD STE 100, LOMBARD, IL 60148-2302
- **Mailing address phone:** (630) 495-1240
- **Mailing address fax:** (630) 495-1993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7003154 | IL | Yes |

## Other

- **Enumeration date:** 11/19/2010
- **Last updated:** 02/28/2013