Organization
LOGAN SQUARE SURGERY CENTER
Active
Other names
LOGAN SQUARE SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI NASSAR (MANAGER)
(773) 227-3950
Entity
Organization
Contact information
Practice address
2004 N PULASKI RD, CHICAGO, IL 60639-3767
(773) 227-3950
(773) 252-3050
Mailing address
2006 N PULASKI RD, CHICAGO, IL 60639-3767
(773) 227-3950
(773) 252-3050
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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