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Organization

SOUTHWEST SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. UMESH SHARMA M.D. (PRESIDENT)
(815) 727-4050
Entity
Organization

Contact information

Practice address
1300 COPPERFIELD AVE, JOLIET, IL 60432-2004
(815) 727-4050
Mailing address
10660 W 143RD ST STE B, ORLAND PARK, IL 60462-1989
(708) 460-4499
(708) 460-8031

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09923841
BLUE CROSS BLUE SHIELD
IL
01
CG7156
PALMETTO RR MEDICARE
IL
Enumeration date
10/26/2006
Last updated
07/21/2022
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