Organization
METRO NORTH SURGICAL CENTER
Active
Parent organization
METRO NORTH SURGERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
METRO NORTH SURGERY CENTER
Authorized official
JAMIE L VANDENELZEN DC (OWNER)
(920) 217-6052
Entity
Organization
Contact information
Practice address
2651 N LARAMIE AVE, CHICAGO, IL 60639-1613
(920) 217-6052
Mailing address
106 N KNIGHT AVE, PARK RIDGE, IL 60068-3108
(920) 217-6052
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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