Organization
OAK ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CORCORAN MD (PRESIDENT)
(815) 928-8050
Entity
Organization
Contact information
Practice address
6712 N CONVENT ST, BOURBONNAIS, IL 60914-1528
(815) 928-8050
Mailing address
400 S KENNEDY DR, BRADLEY, IL 60915-2682
(815) 928-8050
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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