Organization
HINSDALE SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER / AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
10 SALT CREEK LANE, HINSDALE, IL 60521
(630) 325-5035
(630) 325-5134
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(630) 325-5035
(630) 325-5134
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002314
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1532
BCBS
IL
01
—
490004574
RAILROAD MEDICARE
IL
Enumeration date
06/16/2006
Last updated
12/01/2020
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