Organization
LOGAN SQUARE SURGERY CENTER CORP
Active
Other names
Logan Square Surgery Center Corp
Organization subpart
No
Provider details
NPI number
Authorized official
HAIFA SHARIFEH (OWNER)
(773) 772-8876
Entity
Organization
Contact information
Practice address
2006 N PULASKI RD, CHICAGO, IL 60639
(773) 772-8876
Mailing address
2006 N PULASKI RD, CHICAGO, IL 60639
(773) 772-8876
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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