Organization
MIDWEST ENDOSCOPY CENTER
Active
Other names
MIDWEST DIGESTIVE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURIYA SASTRI M.D. (PRESIDENT)
(630) 325-8684
Entity
Organization
Contact information
Practice address
6900 S MADISON ST, SUITE 102, WILLOWBROOK, IL 60527-5510
(630) 325-8684
Mailing address
6900 S MADISON ST, SUITE 102, WILLOWBROOK, IL 60527-5510
(630) 325-8684
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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