Organization
UNIVERSITY SURGEONS CRITICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LILLEMOE (OWNER)
(317) 278-7045
Entity
Organization
Contact information
Practice address
545 BARNHILL DR, EH 242, INDIANAPOLIS, IN 46202-5112
(317) 278-7045
(317) 481-1337
Mailing address
545 BARNHILL DR, EH 242, INDIANAPOLIS, IN 46202-5112
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
01/13/2010
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