Organization
AMBULATORY SURGERY CENTERS OF CHICAGO
Active
Parent organization
THE LINCOLN PARK INSTITUTE FOR ORAL &COSMETIC SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LINCOLN PARK INSTITUTE FOR ORAL &COSMETIC SURGERY
Authorized official
MRS. LIZBETH CANALES (PRACTICE MANAGER)
(773) 327-2400
Entity
Organization
Contact information
Practice address
2449 N LINCOLN AVE, CHICAGO, IL 60614-2414
(773) 327-2400
(773) 327-4759
Mailing address
PO BOX 14704, CHICAGO, IL 60614-0704
(773) 327-2400
(773) 327-4759
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
036093902
IL
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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