Organization
STONE MEDICAL SURGERY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALCOLM D HERZOG DPM (CO-OWNER)
(847) 856-7600
Entity
Organization
Contact information
Practice address
7505 GRAND AVE, GURNEE, IL 60031-1551
(847) 856-7600
Mailing address
PO BOX 388387, CHICAGO, IL 60638-8387
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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