Organization
GRUNDY COUNTY SURGICAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE CARLSON (MGR)
(815) 942-6511
Entity
Organization
Contact information
Practice address
425 E US ROUTE 6, MORRIS, IL 60450-9042
(815) 942-6511
(815) 942-6582
Mailing address
425 E US ROUTE 6, MORRIS, IL 60450-9042
(815) 942-6511
(815) 942-6582
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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