# SURGERY CENTER AT 900 N MICHIGAN AVE LLC

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

## Provider details

- **NPI number:** 1932136389
- **Authorized official:** DR. KENNY BOZORGI MD (CEO)
- **Authorized official phone:** (312) 440-5150

## Contact information

- **Practice address:** 60 E DELAWARE PL, 15TH FLOOR, CHICAGO, IL 60611-1898
- **Practice address phone:** (312) 440-5150
- **Practice address fax:** (877) 235-5009
- **Mailing address:** PO BOX 88185, CAROL STREAM, IL 60188-8185
- **Mailing address phone:** (312) 440-5150
- **Mailing address fax:** (312) 858-6104

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 08/23/2024