Organization · Type 2 NPI
Edwardsville Ambulatory Surgery Center LLC
Ambulatory Surgical Clinic/Center · Glen Carbon, IL
NPI number
1952464844
Active
Practice location
12 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Mailing address
1573 Mallory Ln Ste 100
Brentwood, TN 37027-2895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 7002504 (IL) |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
Other ambulatory surgical clinic/center providers in Glen Carbon
About NPI 1952464844
Edwardsville Ambulatory Surgery Center LLC's National Provider Identifier is 1952464844, issued on Dec 19, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Glen Carbon, IL. The record was last updated on Jul 7, 2023.