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Organization

PREFERRED SURGICENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NASER RUSTOM M.D. (MEDICAL DIRECTOR)
(773) 237-0755
Entity
Organization

Contact information

Practice address
10 ORLAND SQUARE DR, ORLAND PARK, IL 60462-3207
(708) 942-6030
Mailing address
10 ORLAND SQUARE DR, ORLAND PARK, IL 60462-3207
(708) 942-6030

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
01/06/2015
Last updated
01/06/2015
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