Organization
BRIDGEPORT SURGICENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY PEREZ DPM (PRESIDENT)
(815) 254-7872
Entity
Organization
Contact information
Practice address
436 W 31ST ST, CHICAGO, IL 60616-3136
(815) 254-7872
(815) 254-7873
Mailing address
436 W 31ST ST, CHICAGO, IL 60616-3136
(815) 254-7872
(815) 254-7873
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IL
Other
Enumeration date
04/02/2007
Last updated
07/21/2022
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