Organization
PCAC GI JV LLC
Active
Other names
AMITA HEALTH ENDOSCOPY CENTER LINCOLN PARK
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN LEHMKUHLER (ADMINISTRATOR)
(317) 504-9628
Entity
Organization
Contact information
Practice address
331 W SURF ST STE 506, CHICAGO, IL 60657-7227
(317) 504-9628
Mailing address
331 W SURF ST STE 506, CHICAGO, IL 60657-7227
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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