Organization
MIDWEST SURGICAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN K VOHRA DPM (OWNER)
(630) 892-0000
Entity
Organization
Contact information
Practice address
1851 DOUGLAS RD, MONTGOMERY, IL 60538-2159
(630) 892-0000
(630) 892-0000
Mailing address
1851 DOUGLAS RD, MONTGOMERY, IL 60538-2159
(630) 892-0000
(630) 892-0000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
016004798
IL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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