Progressive Surgical Associates Sc

NPI #1154550226 in New Lenox, Illinois

Provider Information

NPI Number: 1154550226
Entity Type: Organization
Organization Name: Progressive Surgical Associates Sc
Primary Specialty: Surgery
Enumeration Date: Jul 9, 2009
Last Updated: Aug 9, 2012

Practice Location

Address: 1890 SILVER CROSS BLVD
Address 2: SUITE 410
City: New Lenox
State: Illinois
ZIP Code: 60451-9524
Phone: (815) 717-8730

Authorized Official

Name: REZA GAMAGAMI, MD
Title: OWNER
Phone: (815) 717-8730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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