Fullerton Medical Surgical Center

NPI 1851456909 - Clinic/Center - 261QA1903X

NPI Details
NPI 1851456909
Enumeration Date 12/27/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SAMUEL SAMUEL
Position PRESIDENT
Phone (773) 622-8060
Fax (773) 622-8095
Practice Location
5723 W FULLERTON AVE
CHICAGO IL, 60639-2306, US
Phone (773) 622-8060
Fax (773) 622-8095
Business Location
5723 W FULLERTON AVE
CHICAGO IL, 60639-2306, US
Phone (773) 622-8060
Fax (773) 622-8095
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Fullerton Medical Surgical Center NPI is 1851456909, taxonomy code is 261QA1903X Fullerton Medical Surgical Center physically located at 5723 W Fullerton Ave, Chicago IL, 60639-2306. NPI Number 1033115704 has the healthcare provider type.

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1851456909 NPI number is provided on an as is basis without warranty of any kind. 1851456909 is maintained by the National Plan & Provider Enumeration System. The contents of Fullerton Medical Surgical Center are for informational purposes only.