Organization
ADVANCED SURGICAL CARE OF NORTHERN ILLINOIS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE ANN SLADE (OFFICE MANAGER)
(847) 381-8161
Entity
Organization
Contact information
Practice address
802 FOX GLN, BARRINGTON, IL 60010-1860
(847) 381-8161
(847) 381-8167
Mailing address
802 FOX GLN, BARRINGTON, IL 60010-1860
(847) 381-8161
(847) 381-8167
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04929950
BC BS PROVIDER NO
IL
Enumeration date
12/12/2006
Last updated
04/20/2008
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