# AMBULATORY SURGICENTER OF DOWNERS GROVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801952783
- **Authorized official:** DR. AMOS MADANES M.D. (PRESIDENT)
- **Authorized official phone:** (630) 322-9451

## Contact information

- **Practice address:** 4333 MAIN ST, DOWNERS GROVE, IL 60515-2869
- **Practice address phone:** (630) 322-9451
- **Practice address fax:** (630) 322-9791
- **Mailing address:** 4333 MAIN ST, DOWNERS GROVE, IL 60515-2869
- **Mailing address phone:** (630) 322-9451
- **Mailing address fax:** (630) 322-9791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7002082 | IL | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 08/22/2020