Organization
NORTHWEST COMMUNITY DAY SURGERY CENTER II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN O SCOGNA (CEO)
(847) 618-5000
Entity
Organization
Contact information
Practice address
675 W KIRCHHOFF RD, ARLINGTON HEIGHTS, IL 60005-2371
(847) 618-7009
(847) 618-7069
Mailing address
3060 W SALT CREEK LN, ARLINGTON HEIGHTS, IL 60005-1069
(847) 618-4600
(847) 618-4630
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7001209
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53466
BLUE CROSS
—
Enumeration date
12/06/2013
Last updated
03/21/2014
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