| NPI | 1508058934 |
|---|---|
| Doing Business As | LOGAN SQUARE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRI NASSAR Manager 773-227-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |