Organization
KEYSTONE SURGICARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN R HALL M.D. (DIRECTOR OF CENTER)
(708) 799-1144
Entity
Organization
Contact information
Practice address
3330 W 177TH ST, SUITE 2C, HAZEL CREST, IL 60429-2184
(708) 799-1144
Mailing address
3330 W 177TH ST, SUITE 2C, HAZEL CREST, IL 60429-2184
(708) 799-1144
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
02/23/2009
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