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LGH-A/GOLF ASTC, LLC

Surgery Yellow Pages

Des Plaines, Illinois

Provider NPI: 1124029384

Organization Information:
Organization Name:  LGH-A/GOLF ASTC, LLC


Practice Location:
8901 GOLF RD  DES PLAINES, IL 60016 US
Tel: 847-299-2273  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
IL7002231

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS PROVIDER NUMBE545IL01
RAILROAD MEDICARE490001093IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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