Organization
PHYSICIANS SURGERY CENTER ANESTHESIA
Active
Parent organization
PHYSICIANS SURGERY CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS SURGERY CENTER LLC
Authorized official
PHILLIP L SCHAEFER (BOARD MEMBER)
(618) 549-5361
Entity
Organization
Contact information
Practice address
2601 W MAIN ST, CARBONDALE, IL 62901-1031
(618) 549-5361
Mailing address
2601 W MAIN ST, CARBONDALE, IL 62901-1031
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003128
IL
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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