Organization
LIFE SURGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL L JONES CSA (PRESIDENT)
(708) 799-1910
Entity
Organization
Contact information
Practice address
1820 RIDGE RD, HOMEWOOD, IL 60430-1760
(708) 825-9329
(708) 658-1701
Mailing address
PO BOX 44, POSEN, IL 60469-0044
(708) 825-9329
(708) 658-1701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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