Organization
WINCHESTER AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LEE MD (MEDICAL DIRECTOR)
(847) 247-0187
Entity
Organization
Contact information
Practice address
1870 W WINCHESTER RD STE 146, LIBERTYVILLE, IL 60048-5359
(847) 247-0187
Mailing address
1870 W WINCHESTER RD STE 146, LIBERTYVILLE, IL 60048-5359
(847) 247-0187
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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