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Contact Information

1800 MCDONOUGH ROAD SURGERY CENTER LLC
1800 MCDONOUGH RD
SUITE 100
HOFFMAN ESTATES, IL60192-4566
 Phone: 847-742-7272
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for 1800 MCDONOUGH ROAD SURGERY CENTER LLC

NPI Number 1053597161
LBN Legal business name 1800 MCDONOUGH ROAD SURGERY CENTER LLC
Authorized official KIANOOSH JAFARI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2008
Last updated 01/18/2008 - About 18 years ago
Identifiers
IL License # 7003116
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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