NPI | 1285980151 |
---|---|
Doing Business As | GOOD SAMARITAN SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JOON AHN Authorized Official Owner 618-899-5703 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7003172) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2025-01-08 |