Organization
INNOVIA SURGERY CENTER, LLC
Active
Other names
Advantage Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
VERA SCHMIDT (ADMINISTRATOR)
(847) 385-0700
Entity
Organization
Contact information
Practice address
203 E IRVING PARK RD, WOOD DALE, IL 60191-2045
(630) 595-1515
Mailing address
203 E IRVING PARK RD, WOOD DALE, IL 60191-2045
(847) 385-0700
(877) 550-1717
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002140
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1535
BCBS NUMBER
IL
Enumeration date
02/20/2007
Last updated
05/22/2024
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