# SOUTH PULASKI SURGICAL, LTD

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

## Provider details

- **NPI number:** 1871899328
- **Authorized official:** DR. MARK COHEN DC (PRESIDENT)
- **Authorized official phone:** (773) 735-8200

## Contact information

- **Practice address:** 6224 S PULASKI RD, CHICAGO, IL 60629-4610
- **Practice address phone:** (773) 735-8200
- **Mailing address:** 6224 S PULASKI RD, CHICAGO, IL 60629-4610
- **Mailing address phone:** (773) 735-8200

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 02/01/2011