Keystone Surgicare INC
NPI #1043429277 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1043429277
- Entity Type
- Organization
- Organization Name
- Keystone Surgicare INC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 22, 2007
- Last Updated
- Feb 23, 2009
Practice Location
- Address
- 3330 W 177TH ST
- Address 2
- SUITE 2C
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-2184
- Phone
- (708) 799-1144
Authorized Official
- Name
- DR. MARTIN R HALL, M.D.
- Title
- DIRECTOR OF CENTER
- Phone
- (708) 799-1144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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