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Organization

ORLAND PARK SURGICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIKA HORSTMANN RN (ADMINISTRATOR)
(708) 478-7437
Entity
Organization

Contact information

Practice address
9550 WEST 167 STREET, ORLAND PARK, IL 60467-5561
(708) 478-7437
Mailing address
9550 WEST 167 STREET, ORLAND PARK, IL 60467-5561
(708) 478-7437
(708) 679-5356

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002553
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00050131
BCBSIL
IL
Enumeration date
01/04/2006
Last updated
05/11/2012
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