25 EAST SAME DAY SURGERY LLC; NPI #1922141738

Contact Information

25 EAST SAME DAY SURGERY LLC

25 E WASHINGTON ST
SUITE 300
CHICAGO, IL 60602-1708

Phone: 312-726-3329
Fax: 312-726-3823
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 25 EAST SAME DAY SURGERY LLC

NPI Number 1922141738

LBN Legal business name 25 EAST SAME DAY SURGERY LLC

Authorized official JENETHA MORAN - (AUTHORIZED OFFICIAL)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/14/2007

Last updated 09/18/2018 - About 8 years ago

Identifiers

IL	License #	7001969
IL	Other	1514	BCBS

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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