Organization
FEDERER SURGICAL SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD CLARK FEDERER III M.D. (PRESIDENT)
(773) 293-4001
Entity
Organization
Contact information
Practice address
2740 W FOSTER AVE, SUITE 213, CHICAGO, IL 60625-3500
(773) 293-4001
Mailing address
2740 W FOSTER AVE, SUITE 213, CHICAGO, IL 60625-3500
(773) 293-4001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036072388
IL
Other
Enumeration date
02/07/2011
Last updated
02/10/2011
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