# BERWYN SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1992086029
- **Authorized official:** WAJAHAT AKTHAR D.C. (OFFICE MANAGER)
- **Authorized official phone:** (708) 788-3880

## Contact information

- **Practice address:** 3253 S HARLEM AVE, STE. 1B, BERWYN, IL 60402-2996
- **Practice address phone:** (708) 788-3880
- **Mailing address:** 3253 S HARLEM AVE, STE. 1B, BERWYN, IL 60402-2996
- **Mailing address phone:** (708) 788-3880

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2011
- **Last updated:** 09/02/2011