Organization
1800 MCDONOUGH ROAD SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIANOOSH JAFARI M.D. (OWNER)
(630) 990-7770
Entity
Organization
Contact information
Practice address
1800 MCDONOUGH RD, SUITE 100, HOFFMAN ESTATES, IL 60192-4566
(847) 742-7272
Mailing address
2607 W 22ND ST, SUITE 48, OAK BROOK, IL 60523-1231
(630) 990-7770
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003116
IL
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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