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Organization

SUBURBAN SURGICAL CARE SPECIALISTS, S.C.

Active
Other names
James M. Kane, M.D. SC
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES M KANE JR. M.D., F.A.C.S (CEO)
(847) 255-9697
Entity
Organization

Contact information

Practice address
4885 HOFFMAN BLVD., SUITE 400, HOFFMAN ESTATES, IL 60192-3722
(847) 255-9697
(847) 255-3206
Mailing address
4885 HOFFMAN BLVD., SUITE 400, HOFFMAN ESTATES, IL 60192-3722
(847) 255-9697
(847) 255-3206

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042.000700
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001609795
BLUE CROSS GROUP ID
IL
Enumeration date
03/29/2007
Last updated
10/20/2008
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