Suburban General Surgery Ltd

NPI #1003977901 in Oak Lawn, Illinois

Provider Information

NPI Number: 1003977901
Entity Type: Organization
Organization Name: Suburban General Surgery Ltd
Primary Specialty: Surgery
Enumeration Date: Dec 13, 2006
Last Updated: Nov 20, 2007

Practice Location

Address: 4700 W 95TH ST
Address 2: STE 308
City: Oak Lawn
State: Illinois
ZIP Code: 60453
Phone: (708) 425-6370

Authorized Official

Name: GERALD KAMPIN, MD
Title: PRESIDENT
Phone: (708) 425-6370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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