West Suburban Surgical Associates, Ltd.

NPI #1184682478 in Bloomingdale, Illinois

Provider Information

NPI Number
1184682478
Entity Type
Organization
Organization Name
West Suburban Surgical Associates, Ltd.
Primary Specialty
Surgery
Enumeration Date
May 3, 2006
Last Updated
Oct 24, 2012

Practice Location

Address
473 W ARMY TRAIL RD
Address 2
SUITE 107
ZIP Code
60108-2674
Phone
(630) 307-7799

Authorized Official

Name
JAN MARIE CHARVAT
Title
PRACTICE MANAGER
Phone
(630) 307-7799

Specialties & Taxonomy Codes

Specialty
Surgery

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