Organization
CROWN POINT SURGICAL SUITES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
11051 BROADWAY STE B, CROWN POINT, IN 46307-7490
(219) 308-0193
Mailing address
11051 BROADWAY STE B, CROWN POINT, IN 46307-7490
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
02/20/2026
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