Organization · Type 2 NPI
O'Fallon Surgical Center, LLC
Ambulatory Surgical Clinic/Center · O Fallon, IL
NPI number
1770042111
Active · reactivated May 23, 2019
Practice location
741 Insight Ave
O Fallon, IL 62269-2193
Fax (618) 235-0471
Mailing address
5023 N Illinois St
Fairview Heights, IL 62208-3453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
Other ambulatory surgical clinic/center providers in O Fallon
About NPI 1770042111
O'Fallon Surgical Center, LLC's National Provider Identifier is 1770042111, issued on Mar 15, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in O Fallon, IL. The record was last updated on Jul 12, 2021.