Organization
WELLGROUP HEALTHPARTNERS LLC
Active
Other names
Surgicare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCCORMICK (CEO)
(708) 756-0100
Entity
Organization
Contact information
Practice address
333 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1748
(708) 754-4890
(708) 709-6242
Mailing address
333 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1748
(708) 754-4890
(708) 709-6242
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002769
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7002769
LICENSE ID NUMBER
IL
Enumeration date
04/14/2006
Last updated
08/22/2020
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