Starsurgical

NPI #1376701805 in Montgomery, Illinois

Provider Information

NPI Number: 1376701805
Entity Type: Organization
Organization Name: Starsurgical
Primary Specialty: Surgery
Enumeration Date: May 30, 2008
Last Updated: Apr 28, 2011

Practice Location

Address: 2373 WHITE ROSE DR
City: Montgomery
State: Illinois
ZIP Code: 60538-5140
Phone: (630) 330-1761

Authorized Official

Name: JOSE ESPINO, RCSA
Title: PHYSICIAN
Phone: (630) 330-1761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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