Keystone Surgicare Inc

NPI 1043429277 - Clinic/Center - 261QA1903X

NPI Details
NPI 1043429277
Enumeration Date 05/22/2007
Last Updated 02/23/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARTIN R MARTIN
Position DIRECTOR OF CENTER
Phone (708) 799-1144
Fax
Practice Location
3330 W 177TH ST
SUITE 2C
HAZEL CREST IL, 60429-2184, US
Phone (708) 799-1144
Fax
Business Location
3330 W 177TH ST
SUITE 2C
HAZEL CREST IL, 60429-2184, US
Phone (708) 799-1144
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Keystone Surgicare Inc NPI is 1043429277, taxonomy code is 261QA1903X Keystone Surgicare Inc physically located at 3330 W 177th St, Hazel Crest IL, 60429-2184. NPI Number 1033115704 has the healthcare provider type.

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1043429277 NPI number is provided on an as is basis without warranty of any kind. 1043429277 is maintained by the National Plan & Provider Enumeration System. The contents of Keystone Surgicare Inc are for informational purposes only.