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Contact Information

CENTER FOR SURGERY & BREAST HEALTH, LLC
300 BARNEY DR STE A
JOLIET, IL60435-5269
 Phone: 815-744-0330
 Fax: 815-744-0445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CENTER FOR SURGERY BREAST HEALTH LLC · (Female)

NPI Number 1164516217
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 10/01/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Other 9930030 BCBS PROVIDER GRP #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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