Organization
HISPANIC AMERICAN ENDOSCOPY CENTER, LLC
Active
Other names
Chicago Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ROSENTHAL DC (OWNER)
(312) 761-0100
Entity
Organization
Contact information
Practice address
3536 W FULLERTON AVE, CHICAGO, IL 60647-2443
(773) 772-1212
(773) 697-8305
Mailing address
3536 W FULLERTON AVE, CHICAGO, IL 60647-2443
(312) 761-0100
(773) 697-8305
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003126
IL
Other
Enumeration date
08/16/2007
Last updated
04/17/2019
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