# MIDWEST ENDOSCOPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MIDWEST DIGESTIVE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801149919
- **Authorized official:** DR. SURIYA SASTRI M.D. (PRESIDENT)
- **Authorized official phone:** (630) 325-8684

## Contact information

- **Practice address:** 6900 S MADISON ST, SUITE 102, WILLOWBROOK, IL 60527-5510
- **Practice address phone:** (630) 325-8684
- **Mailing address:** 6900 S MADISON ST, SUITE 102, WILLOWBROOK, IL 60527-5510
- **Mailing address phone:** (630) 325-8684

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2012
- **Last updated:** 10/26/2012