Organization
63RD MEDICAL & SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYOUB SAYEG M.D. (MEDICAL DIRECTOR)
(773) 284-9660
Entity
Organization
Contact information
Practice address
3918 W 63RD ST, CHICAGO, IL 60629-4604
(773) 284-9660
(773) 284-9676
Mailing address
PO BOX 11232, CHICAGO, IL 60611-0232
(773) 284-9660
(773) 284-9676
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/08/2017
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