Organization
IBJI ASC VENTURES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE BLOM (CEO)
(847) 324-3976
Entity
Organization
Contact information
Practice address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3090
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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