| NPI | 1023017423 |
|---|---|
| Former Legal Business Name | ILLIANA SURGERY AND MEDICAL CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY YESSENOW CEO 219-922-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 050109881) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-08-22 |