Valley Ambulatory Surgery Center

NPI 1104819424 - Clinic/Center - 261QA1903X

NPI Details
NPI 1104819424
Enumeration Date 08/23/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DEBORAH LEE DEBORAH
Position ADMINISTRATOR
Phone (630) 584-9800
Fax (630) 584-9805
Practice Location
2210 DEAN ST
ST CHARLES IL, 60175-1059, US
Phone (630) 584-9800
Fax (630) 584-9805
Business Location
2210 DEAN ST
ST CHARLES IL, 60175-1059, US
Phone (630) 584-9800
Fax (630) 584-9805
Toxanomy
Taxonomy Code 261QA1903X
License State Illinois
License Number 7001217
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According to our database, Valley Ambulatory Surgery Center NPI is 1104819424, taxonomy code is 261QA1903X and license number is 7001217, license state is located at Illinois. Valley Ambulatory Surgery Center physically located at 2210 Dean St, St Charles IL, 60175-1059. NPI Number 1033115704 has the healthcare provider type.

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1104819424 NPI number is provided on an as is basis without warranty of any kind. 1104819424 is maintained by the National Plan & Provider Enumeration System. The contents of Valley Ambulatory Surgery Center are for informational purposes only.