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Organization

ALPHA SURGERY CENTER

Active
Other names
Alpha Surgery Suite, Alpa Surgery Suite
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHISH SUD DC (OWNER)
(630) 854-0899
Entity
Organization

Contact information

Practice address
3253 S HARLEM AVE STE 5, BERWYN, IL 60402-2996
(708) 788-3880
(708) 788-4757
Mailing address
3253 S HARLEM AVE STE 5, BERWYN, IL 60402-2996
(630) 854-0899
(708) 788-4757

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
261QA1903X
Ambulatory Surgical Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038010456
STATE LICENSE
IL
Enumeration date
02/28/2024
Last updated
02/28/2024
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