Organization
OAK LAWN ENDOSCOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ARNDT MD (CHIEF FINANCIAL OFFICER)
(708) 425-9456
Entity
Organization
Contact information
Practice address
9921 SOUTHWEST HIGHWAY, OAK LAWN, IL 60453
(708) 425-2552
Mailing address
9921 SOUTHWEST HIGHWAY, OAK LAWN, IL 60453
(708) 425-2552
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002603
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50226
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
10/04/2006
Last updated
10/03/2011
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