Organization
HYDE PARK SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RICE (ADMINSITRATOR)
(773) 752-6340
Entity
Organization
Contact information
Practice address
1644 E 53RD ST, CHICAGO, IL 60615-4210
(773) 752-6340
(773) 752-6368
Mailing address
1644 E 53RD STREET, CHICAGO, IL 60615-4210
(773) 752-6340
(773) 752-6368
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
036130154
IL
Other
Enumeration date
05/11/2015
Last updated
08/11/2021
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