Organization
HUANG SURGICAL CLINIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HUANG (OFFICE MANAGER)
(618) 498-5722
Entity
Organization
Contact information
Practice address
270 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2004
(618) 498-5722
Mailing address
270 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058487
—
IL
Enumeration date
11/23/2007
Last updated
06/14/2010
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