Organization
RIVER NORTH SAME DAY SURGERY LLC
Active
Other names
Northwestern Medicine Surgery Center River North
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J MULLEN (VICE PRESIDENT HOSPITAL REVENUE CYC)
(630) 938-6076
Entity
Organization
Contact information
Practice address
1 E ERIE ST, SUITE 300, CHICAGO, IL 60611-2740
(312) 921-2055
Mailing address
4698 DEPT, CAROL STREAM, IL 60122-4698
(312) 921-2055
(312) 921-2056
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002090
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
518
BCBS
IL
Enumeration date
02/14/2007
Last updated
06/18/2024
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