NOVAMED SURGERY CENTER OF OAK LAWN, LLC
Surgery Yellow Pages
Oak Lawn, Illinois
Provider NPI: 1518967082
Organization Information:Organization Name: NOVAMED SURGERY CENTER OF OAK LAWN, LLC
Practice Location:
6309 W 95TH ST OAK LAWN, IL 60453 US
Tel: 708-499-3355 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:
6309 W 95TH ST OAK LAWN, IL 60453 US
Tel: 708-499-3355 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | IL | 7002843 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RR MEDICARE | P00163716 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin