| NPI | 1457961518 |
|---|---|
| Doing Business As | LOGAN SQUARE SURGERY CENTER CORP |
| Entity Type | Organization |
| Authorized Contact | HAIFA SHARIFEH Owner 773-772-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |