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Organization

MIDWEST PEDIATRIC SURGICAL ASSOCIATES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH LOEFF (OWNER)
(708) 424-7541
Entity
Organization

Contact information

Practice address
4400 W 95TH ST, SUITE 108, OAK LAWN, IL 60453-2654
(708) 424-7541
Mailing address
4400 W 95TH ST, SUITE 108, OAK LAWN, IL 60453-2654

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary

Other

Enumeration date
06/14/2006
Last updated
08/22/2020
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