Organization
PHYSICIANS' SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C. WILSON JR. (CFO)
(618) 346-4100
Entity
Organization
Contact information
Practice address
311 W LINCOLN ST STE 300, BELLEVILLE, IL 62220-1902
(618) 233-7077
(618) 233-2814
Mailing address
311 W LINCOLN ST STE 300, BELLEVILLE, IL 62220-1902
(618) 233-7077
(618) 233-2814
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
042-006796
IL
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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