Organization
MIDWEST CYGNETAZURE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GUDRUN VIGDIS JONSDOTTIR (PRESIDENT)
(847) 458-0625
Entity
Organization
Contact information
Practice address
1474 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-0625
(847) 458-8822
Mailing address
1474 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-0625
(847) 458-8822
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
09/03/2014
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