Organization
NORTH SHORE SAME DAY SURGERY LLC
Active
Other names
North Shore Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER, AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
3725 W TOUHY AVE, LINCOLNWOOD, IL 60712-2603
(847) 324-7770
(847) 324-7762
Mailing address
3725 W TOUHY AVE, LINCOLNWOOD, IL 60712-2603
(847) 324-7770
(847) 324-7762
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002199
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519
BCBS
IL
Enumeration date
02/14/2007
Last updated
10/14/2024
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