Elmhurst Outpatient Surgery Center LLC

NPI #1720085384 in Elmhurst, Illinois

Provider Information

NPI Number: 1720085384
Entity Type: Organization
Organization Name: Elmhurst Outpatient Surgery Center LLC
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Jun 28, 2005
Last Updated: May 12, 2008

Practice Location

Address: 1200 S YORK RD
Address 2: STE 1400
City: Elmhurst
State: Illinois
ZIP Code: 60126-5633
Phone: (630) 758-8800

Authorized Official

Name: TINA MADONIA MENTZ
Title: EXECUTIVE DIRECTOR
Phone: (630) 758-8801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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