Organization
JOLIET SURGICAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SCOTT RICHARD ANDERSON (PRACTICE ADMINISTRATOR)
(630) 568-2624
Entity
Organization
Contact information
Practice address
2121 ONEIDA ST, STE 300, JOLIET, IL 60435-6544
(815) 730-6800
(815) 730-6868
Mailing address
8255 LEMONT RD, STE 200, DARIEN, IL 60561-1800
(630) 598-2624
(630) 598-2674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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