# PCAC GI JV LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMITA HEALTH ENDOSCOPY CENTER LINCOLN PARK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720667637
- **Authorized official:** DEAN LEHMKUHLER (ADMINISTRATOR)
- **Authorized official phone:** (317) 504-9628

## Contact information

- **Practice address:** 331 W SURF ST STE 506, CHICAGO, IL 60657-7227
- **Practice address phone:** (317) 504-9628
- **Mailing address:** 331 W SURF ST STE 506, CHICAGO, IL 60657-7227

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2021
- **Last updated:** 04/07/2021