ADVA-MED SURGICAL ASSOCIATION INC; NPI #1861515355

Contact Information

ADVA-MED SURGICAL ASSOCIATION INC

4201 W 95TH ST
OAK LAWN, IL 60453-2615

Phone: 708-636-7870
Fax: 708-636-0264
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 ADVA-MED SURGICAL ASSOCIATION INC

NPI #	`1861515355`
LBN Legal business name	ADVA-MED SURGICAL ASSOCIATION INC
Authorized official	MAGDALENA MIETUS - (OFFICE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/09/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

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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