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Organization
SOUTHWESTERN MEDICAL CENTER, LLC
Active
Organization
SOUTHWESTERN MEDICAL CENTER, LLC
Active
Other names
Magna Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY BOZORGI MD (CEO)
(773) 445-9696
Entity
Organization
Contact information
Practice address
7456 S STATE RD, STE 300, THIRD FLOOR, BEDFORD PARK, IL 60638-6621
(773) 445-9696
(773) 445-9590
Mailing address
PO BOX 88724, CAROL STREAM, IL 60188-8724
(773) 445-9696
(773) 445-9590
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002264
IL
261QA1903X
Ambulatory Surgical Clinic/Center
—
IL
Other
Enumeration date
07/11/2006
Last updated
02/03/2023
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