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Organization
HISPANIC AMERICAN ENDOSCOPY CENTER, LLC
Active
Organization
HISPANIC AMERICAN ENDOSCOPY CENTER, LLC
Active
Other names
Chicago Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ROSENTHAL DC (OWNER)
(312) 761-0100
Entity
Organization
Contact information
Practice address
3536 W FULLERTON AVE, CHICAGO, IL 60647-2443
(773) 772-1212
(773) 697-8305
Mailing address
3536 W FULLERTON AVE, CHICAGO, IL 60647-2443
(312) 761-0100
(773) 697-8305
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003126
IL
Other
Enumeration date
08/16/2007
Last updated
04/17/2019
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