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1497055032
AMBULATORY SURGICAL CARE FACILITY, LLC
AURORA, IL
NPI
1497055032
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Entity Type
Organization
Authorized Contact
DERRICK D WALLERY
CEO / President
773-283-3131
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date
2010-10-29
Last Update Date
2010-10-29
Business Address
AMBULATORY SURGICAL CARE FACILITY, LLC
1281 N FARNSWORTH AVE
AURORA, IL 60505-2445
Phone number: 773-283-3131
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Mailing Address
AMBULATORY SURGICAL CARE FACILITY, LLC
4176 W MONTROSE AVE
CHICAGO, IL 60641-2161
Phone number: 773-283-3131
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