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Contact Information

CHICAGO SURGICAL CLINIC, LTD.
129 W RAND RD STE 2
ARLINGTON HEIGHTS, IL60004-3142
 Phone: 847-215-0530
 Fax: 847-818-8640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHICAGO SURGICAL CLINIC LTD · (Female)

NPI Number 1336174291
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2006
Last updated 05/15/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036097501
  • IL Medicaid 036097501
  • Other 01628326 BC/BS
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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