Organization
CHILDRENS SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT H GEISSLER MD (PRESIDENT OWNER)
(847) 390-0330
Entity
Organization
Contact information
Practice address
901 BIESTERFIELD RD, SUITE 213, ELK GROVE VILLAGE, IL 60007-3392
(847) 390-0330
(847) 439-8720
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633575
BCBS PROVIDER ID
IL
Enumeration date
11/20/2006
Last updated
04/20/2008
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