# SUBURBAN SURGICAL FACILITY

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

## Provider details

- **NPI number:** 1720165723
- **Authorized official:** MR. ELTON WADE DIXON MD (DIRECTOR)
- **Authorized official phone:** (630) 810-0451

## Contact information

- **Practice address:** 18660 GRAPHIC DR, STE 100, TINLEY PARK, IL 60477-6260
- **Practice address phone:** (630) 810-0451
- **Practice address fax:** (877) 446-3870
- **Mailing address:** 535 S WASHINGTON ST, STE 22, NAPERVILLE, IL 60540-6795
- **Mailing address phone:** (630) 810-0451
- **Mailing address fax:** (877) 446-3870

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 09/05/2014