Organization
SOUTH PULASKI SURGICAL, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK COHEN DC (PRESIDENT)
(773) 735-8200
Entity
Organization
Contact information
Practice address
6224 S PULASKI RD, CHICAGO, IL 60629-4610
(773) 735-8200
Mailing address
6224 S PULASKI RD, CHICAGO, IL 60629-4610
(773) 735-8200
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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