Organization
METROEAST ENDOSCOPY CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEL AHMED MD (PRESIDENT)
(618) 239-0678
Entity
Organization
Contact information
Practice address
5023 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 239-0678
(800) 516-2392
Mailing address
5023 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 239-0678
(800) 516-2392
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
036107831
IL
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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