Organization
TLC SURGERY SUITES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE D KELLY MD (OWNER)
(847) 359-9432
Entity
Organization
Contact information
Practice address
600 N NORTH CT, STE 110, PALATINE, IL 60067
(847) 359-9432
(888) 687-1245
Mailing address
600 N NORTH CT, STE 110, PALATINE, IL 60067-8125
(847) 359-9432
(888) 687-1245
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
036078457
IL
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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