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Center For Surgery & Breast Health, LLC

Surgery in Joliet, IL. Organization (NPI-2).

NPI number1164516217
StatusActive
Last updated in NPPESOct 1, 2008

Details

NPI
1164516217
Entity type
Organization (NPI-2)
Legal business name
Center For Surgery & Breast Health, LLC
Organization subpart
No
Enumeration date
Oct 3, 2006
Last updated
Oct 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

300 Barney Dr Ste A
Joliet, IL 60435-5269

Phone 815-744-0330 · Fax 815-744-0445

Mailing address

300 Barney Dr Ste A
Joliet, IL 60435-5269

Phone 815-744-0330 · Fax 815-744-0445

Authorized official

Wendy J Marshall
President
8157440330

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