Organization
CENTER FOR SURGERY & BREAST HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY J MARSHALL MD (PRESIDENT)
(815) 744-0330
Entity
Organization
Contact information
Practice address
300 BARNEY DR STE A, JOLIET, IL 60435-5269
(815) 744-0330
(815) 744-0445
Mailing address
300 BARNEY DR STE A, JOLIET, IL 60435-5269
(815) 744-0330
(815) 744-0445
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9930030
BCBS PROVIDER GRP #
IL
Enumeration date
10/03/2006
Last updated
10/01/2008
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