NPI | 1790710390 |
---|---|
Doing Business As | MAGNA SURGICAL CENTER |
Entity Type | Organization |
Authorized Contact | KENNY BOZORGI CEO 773-445-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002264) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-07-11 |
Last Update Date | 2023-02-03 |