| NPI | 1285675678 |
|---|---|
| Other Name | FULLERTON SURGERY CENTER INC |
| Entity Type | Organization |
| Authorized Contact | NASER RUSTOM Owner/Medical Director 773-237-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 042618689) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-02-06 |