Organization
SOUTHWEST SURGERY CENTER, LLC
Active
Other names
Center for Minimally Invasive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH GARDINER (BOARD MEMBER/MANAGER)
(312) 399-8427
Entity
Organization
Contact information
Practice address
19110 DARVIN DRIVE, MOKENA, IL 60448
(708) 478-8889
(708) 478-8507
Mailing address
19110 DARVIN DRIVE, MOKENA, IL 60448
(708) 478-8889
(708) 478-8507
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
7002595
IL
Other
Enumeration date
06/19/2006
Last updated
09/29/2021
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