Organization
SURGICORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDREW WOOD D.P.M. (MEDICAL DIRECTOR)
(773) 221-1690
Entity
Organization
Contact information
Practice address
10547 S EWING AVE, CHICAGO, IL 60617-6220
(773) 221-1690
(773) 221-1675
Mailing address
10547 S EWING AVE, CHICAGO, IL 60617-6220
(773) 221-1690
(773) 221-1675
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003072
IL
Other
Enumeration date
09/27/2006
Last updated
08/11/2011
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