Organization
THE KLEIN SURGERY CENTER, LLC
Active
Parent organization
THE KLEIN SURGERY CENTER, LLC
Other names
The Klein Surgery Center, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE KLEIN SURGERY CENTER, LLC
Authorized official
DR. MICHAELA SIMCHA KLEIN DO (GENERAL SURGEON)
(813) 404-5572
Entity
Organization
Contact information
Practice address
2320 DEAN ST, SUITE 104, SAINT CHARLES, IL 60175-1068
(847) 732-9293
Mailing address
2320 DEAN ST, SUITE 104, SAINT CHARLES, IL 60175-1068
(847) 732-9293
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036142139
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003578500
—
FL
Enumeration date
01/10/2017
Last updated
02/01/2017
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