Custom Surgical Care Llc

LBN: Custom Surgical Care Llc
Custom Surgical Care Llc is an health care organization with primary practice located at 2350 Ravine Way Ste 400 , Glenview IL 60025-7621. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Custom Surgical Care Llc can be contacted via phone (847) 232-4843, or through Osipova, Maria via phone (773) 551-5776.

Contact Information

Primary practice address
2350 Ravine Way Ste 400 Glenview IL 60025-7621
Phone: (847) 232-4843
Fax: (847) 779-6877
Website:
Map and Directions
Authorized official contact:
Name: Osipova, Maria Doctor of Medicine (MD)
Phone: (773) 551-5776

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1639923824
LBN Legal business name Custom Surgical Care Llc
DBA Doing business as
Authorized official Osipova, Maria Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2024
Last updated Apr 15th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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