Organization
CHICAGO INSTITUTE OF ADVANCED SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMI LUTFI M.D. (PRESIDENT)
(773) 327-6800
Entity
Organization
Contact information
Practice address
200 W SUPERIOR ST STE 300, CHICAGO, IL 60654-5563
(773) 327-6800
(773) 327-6877
Mailing address
200 W SUPERIOR ST STE 300, CHICAGO, IL 60654-5563
(773) 327-6800
(773) 327-6877
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36124476
—
IL
01
—
F400193534
MC
—
Enumeration date
02/05/2013
Last updated
12/27/2024
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