Organization
NORTH SHORE SURGICAL SUITES, LLC
Active
Other names
North Shore Surgical Suites
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 360-9111
Entity
Organization
Contact information
Practice address
8400 LAKEVIEW PARKWAY, SUITE 800, PLEASANT PRAIRIE, WI 53158-5819
(708) 275-7799
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(972) 763-3859
(972) 920-3445
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
09/05/2024
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