Organization
CLINICIANS SURGERY CARE CENTER. LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW GEORGE GAROUFALIS DPM (PRESIDENT)
(773) 284-8881
Entity
Organization
Contact information
Practice address
6475 WASHINGTON ST, SUITE 103, GURNEE, IL 60031-4404
(773) 284-8881
Mailing address
PO BOX 388387, CHICAGO, IL 60638-8387
(773) 284-8881
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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