# SOUTHWESTERN MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magna Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790710390
- **Authorized official:** KENNY BOZORGI MD (CEO)
- **Authorized official phone:** (773) 445-9696

## Contact information

- **Practice address:** 7456 S STATE RD, STE 300, THIRD FLOOR, BEDFORD PARK, IL 60638-6621
- **Practice address phone:** (773) 445-9696
- **Practice address fax:** (773) 445-9590
- **Mailing address:** PO BOX 88724, CAROL STREAM, IL 60188-8724
- **Mailing address phone:** (773) 445-9696
- **Mailing address fax:** (773) 445-9590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7002264 | IL | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | IL | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 02/03/2023