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1740335165
NORTHWEST SUBURBAN SURGICAL SERVICES
CRYSTAL LAKE, IL
NPI
1740335165
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Entity Type
Organization
Authorized Contact
RONALD JAY LEIB
Owner
815-477-8911
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2007-01-24
Last Update Date
2020-08-22
Business Address
NORTHWEST SUBURBAN SURGICAL SERVICES
39 S VIRGINIA ST SUITE 200
CRYSTAL LAKE, IL 60014-5826
Phone number: 815-477-8911
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Mailing Address
NORTHWEST SUBURBAN SURGICAL SERVICES
39 S VIRGINIA ST SUITE 200
CRYSTAL LAKE, IL 60014-5826
Phone number: 815-477-8911
Copy
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