Organization
ENT SURGERY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRIEDMAN M.D. (PRESIDENT)
(312) 236-3642
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, SUITE 401, CHICAGO, IL 60657-5188
(312) 236-3642
(312) 236-5162
Mailing address
5005 TOUHY AVE, SUITE 200, SKOKIE, IL 60077-3548
(312) 236-3642
(312) 236-5162
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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