Organization
GATEWAY INTERVENTIONAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL CHA MD (OWNER)
(630) 226-1322
Entity
Organization
Contact information
Practice address
215 REMINGTON BLVD, SUITE G, BOLINGBROOK, IL 60440-3656
(630) 226-1322
(630) 226-1134
Mailing address
215 REMINGTON BLVD, SUITE G, BOLINGBROOK, IL 60440-3656
(630) 226-1322
(630) 226-1134
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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