Organization
VALUE REAL ESTATE SOLUTIONS LLC
Active
Other names
Lakeside Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALLIA KASMOUSKAYA OWNER (OWNER /MANAGER)
(708) 717-6837
Entity
Organization
Contact information
Practice address
810 W CHICAGO AVE, EAST CHICAGO, IN 46312-3307
(219) 392-0500
(219) 392-0503
Mailing address
810 W CHICAGO AVE, EAST CHICAGO, IN 46312-3307
(219) 392-0500
(219) 392-0503
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
17-003259-1
IN
261QA1903X
Ambulatory Surgical Clinic/Center
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Other
Enumeration date
06/01/2007
Last updated
07/18/2018
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