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Organization
MIDWEST MEDIX SURGERY CENTER
Active
Organization
MIDWEST MEDIX SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL R WAHOOD MD (PRESIDENT)
(630) 632-4435
Entity
Organization
Contact information
Practice address
8630 S PULASKI RD, CHICAGO, IL 60652-3633
(773) 767-8132
Mailing address
104 CIRCLE RIDGE DR, BURR RIDGE, IL 60527-8379
(630) 632-4435
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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