Organization
SOUTHWESTERN MEDICAL CENTER, LLC
Active
Other names
Magna Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY BOZORGI MD (CEO)
(773) 445-9696
Entity
Organization
Contact information
Practice address
7456 S STATE RD, STE 300, THIRD FLOOR, BEDFORD PARK, IL 60638-6621
(773) 445-9696
(773) 445-9590
Mailing address
PO BOX 88724, CAROL STREAM, IL 60188-8724
(773) 445-9696
(773) 445-9590
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002264
IL
261QA1903X
Ambulatory Surgical Clinic/Center
—
IL
Other
Enumeration date
07/11/2006
Last updated
02/03/2023
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