# MIDWEST SURGICAL FACILITY

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

## Provider details

- **NPI number:** 1780830307
- **Authorized official:** DR. PRAVEEN K VOHRA DPM (OWNER)
- **Authorized official phone:** (630) 892-0000

## Contact information

- **Practice address:** 1851 DOUGLAS RD, MONTGOMERY, IL 60538-2159
- **Practice address phone:** (630) 892-0000
- **Practice address fax:** (630) 892-0000
- **Mailing address:** 1851 DOUGLAS RD, MONTGOMERY, IL 60538-2159
- **Mailing address phone:** (630) 892-0000
- **Mailing address fax:** (630) 892-0000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 016004798 | IL | Yes |

## Other

- **Enumeration date:** 08/14/2008
- **Last updated:** 08/14/2008