Organization
ST IGNATIUS SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KUNG MD (MANAGER)
(708) 957-0505
Entity
Organization
Contact information
Practice address
19801 GOVERNORS HWY STE 160, FLOSSMOOR, IL 60422-4363
(708) 957-0505
(708) 957-0506
Mailing address
19801 GOVERNORS HWY STE 160, FLOSSMOOR, IL 60422-4363
(708) 957-0505
(708) 957-0506
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
N/A
IL
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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