Organization
ONTARIO STREET SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WEINZWEIG MD (OWNER)
(312) 642-0400
Entity
Organization
Contact information
Practice address
22 W ONTARIO ST, CHICAGO, IL 60654
(312) 642-0400
Mailing address
22 W ONTARIO ST, CHICAGO, IL 60654-5169
(312) 642-0400
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/05/2019
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