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Organization

PHYSICIANS SURGERY CENTER AT GOOD SAMARITAN, LLC

Active
Other names
Good Samaritan Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
JOON AHN MD (AUTHORIZED OFFICIAL - OWNER)
(618) 899-5703
Entity
Organization

Contact information

Practice address
2 GOOD SAMARITAN WAY, STE 200, MOUNT VERNON, IL 62864-2476
(618) 899-5703
(618) 899-5704
Mailing address
2 GOOD SAMARITAN WAY, STE 200, MOUNT VERNON, IL 62864-2476
(618) 899-5703
(618) 899-5704

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003172
IL

Other

Enumeration date
07/30/2012
Last updated
01/08/2025
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