Ambulatory Surgical Care Facility, LLC

NPI #1497055032 in Aurora, Illinois

Provider Information

NPI Number
1497055032
Entity Type
Organization
Organization Name
Ambulatory Surgical Care Facility, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Oct 29, 2010
Last Updated
Oct 29, 2010

Practice Location

Address
1281 N FARNSWORTH AVE
City
Aurora
ZIP Code
60505-2445
Phone
(773) 283-3131

Authorized Official

Name
DR. DERRICK D WALLERY, D.C.
Title
CEO / PRESIDENT
Phone
(773) 283-3131

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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