Organization
WEST SUBURBAN SURGICAL ASSOCIATES, LTD.
Active
Other names
advanced breast care specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JAN MARIE CHARVAT (PRACTICE MANAGER)
(630) 307-7799
Entity
Organization
Contact information
Practice address
473 W ARMY TRAIL RD, SUITE 107, BLOOMINGDALE, IL 60108-2674
(630) 307-7799
(630) 307-2277
Mailing address
473 W ARMY TRAIL RD, SUITE 107, BLOOMINGDALE, IL 60108-2674
(630) 307-7799
(630) 307-2277
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036076758
IL
Other
Enumeration date
05/03/2006
Last updated
10/24/2012
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