Organization · Type 2 NPI

Logan Square Surgery Center

Ambulatory Surgical Clinic/Center · Chicago, IL

NPI number 1508058934 Active

Practice location

2004 N Pulaski Rd
Chicago, IL 60639-3767

Fax (773) 252-3050

Mailing address

2006 N Pulaski Rd
Chicago, IL 60639-3767

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1508058934

Logan Square Surgery Center's National Provider Identifier is 1508058934, issued on Aug 9, 2007. 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 Aug 9, 2007.