Organization
ACUTE CARE SURGERY MIDWEST, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN M. REED (DIRECTOR OF LEGAL AFFAIRS)
(916) 441-0400
Entity
Organization
Contact information
Practice address
7309 N KNOXVILLE AVE STE 1, PEORIA, IL 61614-2086
(916) 441-0400
Mailing address
PO BOX 208980, DALLAS, TX 75320-0001
(916) 441-0400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
06/25/2021
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