# RIVER NORTH SAME DAY SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwestern Medicine Surgery Center River North
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922141647
- **Authorized official:** MICHAEL J MULLEN (VICE PRESIDENT HOSPITAL REVENUE CYC)
- **Authorized official phone:** (630) 938-6076

## Contact information

- **Practice address:** 1 E ERIE ST, SUITE 300, CHICAGO, IL 60611-2740
- **Practice address phone:** (312) 921-2055
- **Mailing address:** 4698 DEPT, CAROL STREAM, IL 60122-4698
- **Mailing address phone:** (312) 921-2055
- **Mailing address fax:** (312) 921-2056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7002090 | IL | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 06/18/2024