Organization
SOUTHWEST SURGICAL EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G SEAMAN (CEO)
(708) 388-5500
Entity
Organization
Contact information
Practice address
17495 LA GRANGE RD, TINLEY PARK, IL 60477-7581
(708) 226-7000
(708) 388-5672
Mailing address
PO BOX 388387, CHICAGO, IL 60638-8387
(708) 226-7000
(708) 388-5672
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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