Organization
SOUTH SUBURBAN SURGICAL SUITES, LLC
Active
Other names
South Suburban Surgical Suites
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
9200 CALUMET AVE STE E-100, MUNSTER, IN 46321-2885
(708) 275-7799
Mailing address
9200 CALUMET AVE STE E-100, MUNSTER, IN 46321-2885
(219) 595-0601
(219) 595-0616
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
03/11/2025
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