Organization
INTERNATIONAL MEDICAL AND SURGICAL INSTITUTE,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GONZALO RUIZ M.D. (PRESIDENT)
(773) 278-7024
Entity
Organization
Contact information
Practice address
2359 N CALFORNIA AVE, CHICAGO, IL 60647-2939
(773) 278-7024
Mailing address
3061 W LOGAN BLVD, CHICAGO, IL 60647-1707
(777) 737-7278
(773) 772-7896
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
36040647
IL
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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