Organization
GRAND AVENUE SURGICAL CENTER, LTD.
Active
Parent organization
J N R ASSOCIATES, INC.
Other names
Surgicare of Chicago
Organization subpart
Yes
Provider details
NPI number
Legal business name
J N R ASSOCIATES, INC.
Authorized official
MR. JAVAD NERCY JAFARI M.B.A. (ADMINISTRATOR & COO)
(312) 222-5610
Entity
Organization
Contact information
Practice address
17 W GRAND AVE, CHICAGO, IL 60610-4306
(312) 222-5610
(312) 661-1771
Mailing address
17 W GRAND AVE, CHICAGO, IL 60610-4306
(312) 222-5610
(312) 661-1771
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003133
IL
Other
Enumeration date
06/30/2008
Last updated
08/05/2019
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