Organization
AFFILIATED SURGICARE,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NASER RUSTOM M.D (PRESIDENT)
(773) 237-0755
Entity
Organization
Contact information
Practice address
4200 W 63RD ST, CHICAGO, IL 60629-5010
(773) 237-0855
Mailing address
4200 W 63RD ST, CHICAGO, IL 60629-5010
(773) 237-0855
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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