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Organization
PCAC GI JV LLC
Active
Organization
PCAC GI JV LLC
Active
Other names
AMITA HEALTH ENDOSCOPY CENTER LINCOLN PARK
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN LEHMKUHLER (ADMINISTRATOR)
(317) 504-9628
Entity
Organization
Contact information
Practice address
331 W SURF ST STE 506, CHICAGO, IL 60657-7227
(317) 504-9628
Mailing address
331 W SURF ST STE 506, CHICAGO, IL 60657-7227
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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