Organization
PETERSON SURGICENTER ANESTHESIA SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER I GOMEZ (COO)
(773) 508-9800
Entity
Organization
Contact information
Practice address
2300 W PETERSON AVE, CHICAGO, IL 60659-5203
(773) 508-9000
(773) 508-1796
Mailing address
2320 W PETERSON AVE, 2ND FLOOR, CHICAGO, IL 60659-5242
(773) 508-9800
(773) 508-1796
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
03/05/2007
Last updated
07/21/2022
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