HYDE PARK SURGERY CENTER, LLC
Surgery Yellow Pages
Chicago, Illinois
Provider NPI: 1609868041
Organization Information:Organization Name: HYDE PARK SURGERY CENTER, LLC
Practice Location:
1644 E 53RD ST CHICAGO, IL 60615 US
Tel: 773-752-2111 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1644 E 53RD ST CHICAGO, IL 60615 US
Tel: 773-752-2111 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 50460 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin