Organization
O'FALLON SURGICAL CENTER, LLC
Active
Other names
Physicians Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEEL AHMED MD (OWNER)
(618) 239-0678
Entity
Organization
Contact information
Practice address
741 INSIGHT AVE, O FALLON, IL 62269-2193
(618) 239-0678
(618) 235-0471
Mailing address
5023 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 239-0678
(618) 235-0471
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
07/12/2021
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