Organization
ALGONQUIN ROAD SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH KAZY-GAREY MA (EXECUTIVE DIRECTOR)
(847) 960-1044
Entity
Organization
Contact information
Practice address
2550 W ALGONQUIN RD, LAKE IN THE HILLS, IL 60156-3503
(847) 458-1246
(847) 458-1509
Mailing address
2550 W ALGONQUIN RD, LAKE IN THE HILLS, IL 60156-3503
(847) 458-1246
(847) 458-1509
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50195
BLUE CROSS BLUE SHEILD IL
IL
Enumeration date
11/21/2005
Last updated
06/03/2025
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