Organization
ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC
Active
Other names
Tinley Woods Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD P LADNIAK (ADMINISTRATOR)
(630) 852-9300
Entity
Organization
Contact information
Practice address
18200 S. LAGRANGE RD, TINLEY PARK, IL 60487
(708) 570-2490
(708) 570-2499
Mailing address
18200 S. LAGRANGE RD, TINLEY PARK, IL 60487
(708) 570-2490
(708) 570-2499
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002652
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490005727
MEDICARE RAILROAD PROV #
IL
Enumeration date
12/15/2006
Last updated
01/25/2010
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