Organization
ADAJAR SURGICAL, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRA A TAYLOR (CONTRACTOR)
(312) 415-0344
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, SUITE 500, CHICAGO, IL 60657-5188
(773) 310-3316
Mailing address
PO BOX 277, GLENVIEW, IL 60025-0277
(773) 310-3316
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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