Organization
SIX CORNERS SAME DAY SURGERY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARMED G. ELIAS M.D. (PRESIDENT)
(773) 545-6900
Entity
Organization
Contact information
Practice address
4211 N CICERO AVE, SUITE 400, CHICAGO, IL 60641-1651
(773) 545-6900
(773) 545-2220
Mailing address
4211 N CICERO AVE, SUITE 400, CHICAGO, IL 60641-1651
(773) 545-6900
(773) 545-2220
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002645
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00011720
MEDICARE RAILROAD
IL
Enumeration date
07/28/2006
Last updated
06/12/2008
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