Organization
DES PLAINES SURGICARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER E JOHNSON MD (OWNER)
(847) 296-5470
Entity
Organization
Contact information
Practice address
8901 GOLF RD, SUITE 204, DES PLAINES, IL 60016-6850
(847) 296-5470
(847) 296-5474
Mailing address
8901 GOLF RD, SUITE 204, DES PLAINES, IL 60016-6850
(847) 296-5470
(847) 296-5474
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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