# PREMIER CARDIAC SURGERY CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Cardiac Surgery Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922664622
- **Authorized official:** DR. RONALD E STELLA MD (BOARD CHAIR)
- **Authorized official phone:** (708) 478-3600

## Contact information

- **Practice address:** 11560 S. KEDZIE AVENUE, SUITE 102, MERRIONETTE PARK, IL 60803
- **Practice address phone:** (708) 972-7520
- **Practice address fax:** (708) 972-7521
- **Mailing address:** 11560 S. KEDZIE AVENUE, SUITE 102, MERRIONETTE PARK, IL 60803
- **Mailing address phone:** (708) 972-7520
- **Mailing address fax:** (708) 972-7521

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2019
- **Last updated:** 01/21/2022