Organization
NORTHWEST COMMUNITY DAY SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B ZENN (EXECUTIVE VICE PRESIDENT)
(847) 618-5017
Entity
Organization
Contact information
Practice address
675 W KIRCHHOFF RD, ARLINGTON HEIGHTS, IL 60005-2371
(847) 618-7009
(847) 618-7069
Mailing address
3060 W SALT CREEK LN, SUITE 110, ARLINGTON HEIGHTS, IL 60005-5026
(847) 618-4604
(847) 618-4630
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7001209
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001671515
BLUE SHIELD
IL
01
—
544
BLUE CROSS
IL
01
—
6251175
AETNA
IL
Enumeration date
04/28/2006
Last updated
06/11/2008
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