Organization
SILVER CROSS AMBULATORY SURGERY CENTER, LLC
Active
Other names
Silver Cross Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
1003 PAWLAK PARKWAY, NEW LENOX, IL 60451
(815) 717-1740
(815) 320-3240
Mailing address
1003 PAWLAK PARKWAY, NEW LENOX, IL 60451
(815) 717-1740
(815) 320-3240
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
7003216
IL
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F300456180
PTAN
—
Enumeration date
04/24/2017
Last updated
12/04/2024
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