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Organization

RICHARD E. LIND, MD SC

Active
Other names
Surgical Associates of Fox Valley
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD ELLIS LIND M.D. (PRESIDENT)
(815) 455-2752
Entity
Organization

Contact information

Practice address
690 E TERRA COTTA AVE, SIUTE A, CRYSTAL LAKE, IL 60014-3605
(815) 455-2752
(815) 455-2789
Mailing address
690 E TERRA COTTA AVE, SIUTE A, CRYSTAL LAKE, IL 60014-3605
(815) 455-2752
(815) 455-2789

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042.005720
IL

Other

Enumeration date
05/15/2007
Last updated
09/07/2010
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