Organization
SUBURBAN SURGICAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELTON WADE DIXON MD (DIRECTOR)
(630) 810-0451
Entity
Organization
Contact information
Practice address
18660 GRAPHIC DR, STE 100, TINLEY PARK, IL 60477-6260
(630) 810-0451
(877) 446-3870
Mailing address
535 S WASHINGTON ST, STE 22, NAPERVILLE, IL 60540-6795
(630) 810-0451
(877) 446-3870
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
09/05/2014
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