ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC; NPI #1316009194

Contact Information

ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC

18200 S. LAGRANGE RD
TINLEY PARK, IL 60487

Phone: 708-570-2490
Fax: 708-570-2499
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC

NPI # 1316009194

LBN Legal business name ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC

Authorized official RONALD LADNIAK - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/15/2006

Last updated 01/25/2010 - About 16 years ago

Identifiers

IL	License #	7002652
IL	Other	490005727	MEDICARE RAILROAD PROV #

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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