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Organization

CHICAGO PROSTATE CANCER SURGERY CENTER, LLC

Active
Other names
Duly Surgery Center Westmont
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL MERRICK MD (PRESIDENT, BOARD OF DIRECTORS)
(630) 790-1221
Entity
Organization

Contact information

Practice address
815 PASQUINELLI DR, WESTMONT, IL 60559-1276
(630) 654-2515
(630) 654-2516
Mailing address
815 PASQUINELLI DR, WESTMONT, IL 60559-1276
(630) 654-2515
(630) 654-2516

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
05/12/2006
Last updated
09/19/2024
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