Organization
SURGERY CENTER AT 900 N MICHIGAN AVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNY BOZORGI MD (CEO)
(312) 440-5150
Entity
Organization
Contact information
Practice address
60 E DELAWARE PL, 15TH FLOOR, CHICAGO, IL 60611-1898
(312) 440-5150
(877) 235-5009
Mailing address
PO BOX 88185, CAROL STREAM, IL 60188-8185
(312) 440-5150
(312) 858-6104
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IL
Other
Enumeration date
06/28/2006
Last updated
08/23/2024
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