Organization · Type 2 NPI
Southwestern Medical Center, LLC
Ambulatory Surgical Clinic/Center · Bedford Park, IL
NPI number
1790710390
Active
Practice location
7456 S State Rd, Ste 300, Third Floor
Bedford Park, IL 60638-6621
Fax (773) 445-9590
Mailing address
PO Box 88724
Carol Stream, IL 60188-8724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | None listed |
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 7002264 (IL) |
Ambulatory Surgical Clinic/Center: Definition to come...
About NPI 1790710390
Southwestern Medical Center, LLC's National Provider Identifier is 1790710390, issued on Jul 11, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Bedford Park, IL. The record was last updated on Feb 3, 2023.