1800 Mcdonough Road Surgery Center Llc

NPI 1053597161 - Clinic/Center - 261QA1903X

NPI Details
NPI 1053597161
Enumeration Date 01/18/2008
Last Updated 01/18/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIANOOSH KIANOOSH
Position OWNER
Phone (847) 742-7272
Fax
Practice Location
1800 MCDONOUGH RD
SUITE 100
HOFFMAN ESTATES IL, 60192-4566, US
Phone (847) 742-7272
Fax
Business Location
2607 W 22ND ST
SUITE 48
OAK BROOK IL, 60523-1231, US
Phone (630) 990-7770
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State Illinois
License Number 7003116
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According to our database, 1800 Mcdonough Road Surgery Center Llc NPI is 1053597161, taxonomy code is 261QA1903X and license number is 7003116, license state is located at Illinois. 1800 Mcdonough Road Surgery Center Llc physically located at 1800 Mcdonough Rd, Hoffman Estates IL, 60192-4566. NPI Number 1033115704 has the healthcare provider type.

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1053597161 NPI number is provided on an as is basis without warranty of any kind. 1053597161 is maintained by the National Plan & Provider Enumeration System. The contents of 1800 Mcdonough Road Surgery Center Llc are for informational purposes only.