ST IGNATIUS SURGICAL SERVICES LLC NPI 1730482944

NPI Information

NPI: 1730482944
Provider Name: ST IGNATIUS SURGICAL SERVICES LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
19801 GOVERNORS HWY STE 160
FLOSSMOOR, IL
ZIP 60422
Phone: (708) 957-0505
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ST IGNATIUS SURGICAL SERVICES LLC is an ambulatory surgical clinic center in Flossmoor, IL. ST IGNATIUS SURGICAL SERVICES LLC NPI is 1730482944. The provider is registered as an organization entity type.

The provider's business location address is:

19801 GOVERNORS HWY STE 160
FLOSSMOOR, IL
ZIP 60422-363
Phone: (708) 957-0505
Fax: (708) 957-0506

The provider's authorized official is John Kung .
The authorized official title is Manager and has the following contact phone number (708) 957-0505.

The enumeration date for this NPI number is 12/9/2010 and was last updated on 12/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	N/A	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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