Organization
SUBURBAN SURGICAL SERVICES
Active
Other names
North Shore Ambulatory Sergical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALVADOR YUNEZ M.D. (OWNER & CEO)
(847) 550-0040
Entity
Organization
Contact information
Practice address
330 W FRONTAGE RD, SECOND FLOOR, NORTHFIELD, IL 60093-3467
(847) 550-0040
(847) 550-0022
Mailing address
900 W. ROUTE 22, LAKE ZURICH, IL 60047-3416
(847) 550-0040
(847) 784-0045
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D61444866
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D61444866
CORP
IL
Enumeration date
11/03/2006
Last updated
08/22/2020
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