Organization
STRAUSS SURGICAL GROUP ASSOC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT SOHN M.D. (PRESIDENT)
(773) 564-6200
Entity
Organization
Contact information
Practice address
4640 N MARINE DR, CHICAGO, IL 60640-5719
(773) 564-6200
(773) 564-6201
Mailing address
5501 W 79TH ST, SUITE 400, BURBANK, IL 60459-1784
(773) 884-4523
(773) 884-4580
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036036482
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615141
BLUE SHIELD
IL
05
—
036036482
—
IL
01
—
340007445
RAILROAD MEDICARE
—
Enumeration date
07/16/2006
Last updated
10/21/2014
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