Organization
GOLD COAST SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
845 N MICHIGAN AVE, SUITE 985 WEST, CHICAGO, IL 60611-2252
(312) 521-5500
(312) 202-0492
Mailing address
845 N MICHIGAN AVE, SUITE 985 WEST, CHICAGO, IL 60611-2252
(312) 521-5500
(312) 202-0492
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003150
IL
Other
Enumeration date
07/23/2010
Last updated
03/06/2023
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