Organization
SURGERY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JEROME CAHILL M.D. (OWNER)
(773) 975-5966
Entity
Organization
Contact information
Practice address
2800 N SHERIDAN RD, SUITE G2, CHICAGO, IL 60657-6156
(773) 880-5666
(773) 880-0403
Mailing address
1035 W LILL AVE, CHICAGO, IL 60614-2205
(773) 975-5966
(773) 880-0403
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01609339
BLUE CROSS
IL
Enumeration date
03/28/2007
Last updated
08/22/2020
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