Organization
K & G SURGICAL SUITES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KAZMIR DPM (OWNER)
(773) 383-4359
Entity
Organization
Contact information
Practice address
4103 W 26TH ST, CHICAGO, IL 60623-4313
(773) 383-4359
Mailing address
4103 W 26TH ST, CHICAGO, IL 60623-4313
(773) 383-4359
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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