Organization
CENTRAL DUPAGE SURGICAL, INC
Active
Other names
Central DuPage Surgical, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DR. ALLAN KIRCHNER-GOMEZ (PRESIDENT)
(630) 233-8343
Entity
Organization
Contact information
Practice address
800 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9040
(630) 233-8343
(630) 233-8346
Mailing address
800 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9040
(630) 233-8343
(630) 233-8346
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
09/02/2020
Last updated
05/03/2023
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