Organization · Type 2 NPI
Ontario Street Operatory Fac
Ambulatory Surgical Clinic/Center · Chicago, IL
NPI number
1487115804
Active
Practice location
22 W Ontario Street Operatory
Chicago, IL 60654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1487115804
Ontario Street Operatory Fac's National Provider Identifier is 1487115804, issued on Mar 28, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Chicago, IL. The record was last updated on Mar 28, 2019.