Organization
SWEDISH COVENANT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIVEK TAPARIA (ADMINISTRATOR)
(773) 332-5218
Entity
Organization
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 332-5218
Mailing address
5215 N CALIFORNIA AVE, CHICAGO, IL 60625-3513
(773) 332-5218
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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