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Organization
MIDWEST ENDOSCOPY CENTER
Active
Organization
MIDWEST ENDOSCOPY CENTER
Active
Other names
MIDWEST DIGESTIVE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURIYA SASTRI M.D. (PRESIDENT)
(630) 325-8684
Entity
Organization
Contact information
Practice address
6900 S MADISON ST, SUITE 102, WILLOWBROOK, IL 60527-5510
(630) 325-8684
Mailing address
6900 S MADISON ST, SUITE 102, WILLOWBROOK, IL 60527-5510
(630) 325-8684
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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