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Organization
CHICAGO SURGICAL GROUP, LTD.
Active
Organization
CHICAGO SURGICAL GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMIDA BACHH (OWNER)
(312) 329-1100
Entity
Organization
Contact information
Practice address
330 W GRAND AVE, CHICAGO, IL 60610-5264
(312) 329-1100
(312) 329-1106
Mailing address
150 GLENMORA DR, BURR RIDGE, IL 60527-0316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
36-105968
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
36060922
IL
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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