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METRO EAST SURGICAL SPECIALTY SC NPI 1881631604


NPI Information

NPI: 1881631604
Provider Name: METRO EAST SURGICAL SPECIALTY SC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1212 BROADWAY
SUITE B
HIGHLAND, IL
ZIP 62249
Phone: (618) 654-8100
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METRO EAST SURGICAL SPECIALTY SC is a clinic center in Highland, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). METRO EAST SURGICAL SPECIALTY SC NPI is 1881631604. The provider is registered as an organization entity type.

The provider's business location address is:

1212 BROADWAY
SUITE B
HIGHLAND, IL
ZIP 62249-960
Phone: (618) 654-8100

The provider's authorized official is Keith R Thomae .
The authorized official title is President and has the following contact phone number (618) 654-8100.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 4/24/2009.


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
1261Q00000XClinic/Center042008099ILLINOISYes

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

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