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Organization
O'FALLON SURGICAL CENTER, LLC
Active
Organization
O'FALLON SURGICAL CENTER, LLC
Active
Other names
Physicians Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEEL AHMED MD (OWNER)
(618) 239-0678
Entity
Organization
Contact information
Practice address
741 INSIGHT AVE, O FALLON, IL 62269-2193
(618) 239-0678
(618) 235-0471
Mailing address
5023 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 239-0678
(618) 235-0471
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/15/2019
Last updated
07/12/2021
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