| NPI Details | |
|---|---|
| NPI | 1851456909 |
| Enumeration Date | 12/27/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 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 | |
| Remove 1851456909 NPI Number | |
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.
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