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Organization

FIELD SURGICAL ASSOCIATES LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY CHARLES FIELD MD (PRESIDENT)
(708) 331-1122
Entity
Organization

Contact information

Practice address
71 W 156TH ST, SUITE 309, HARVEY, IL 60426-4260
(708) 331-1122
(708) 331-5987
Mailing address
71 W 156TH ST, SUITE 309, HARVEY, IL 60426-4260
(708) 331-1122
(708) 331-5987

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31603874
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/27/2006
Last updated
08/20/2010
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