Hyde Park Surgery Center, Llc

LBN: Hyde Park Surgery Center, Llc
Hyde Park Surgery Center, Llc is an health care organization with primary practice located at 1644 E 53Rd St , Chicago IL 60615-4210. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Hyde Park Surgery Center, Llc can be contacted via phone (773) 752-2111, or through Massuda, Fortunee via phone (773) 752-2111.

Contact Information

Primary practice address
1644 E 53Rd St Chicago IL 60615-4210
Phone: (773) 752-2111
Fax: (773) 752-6703
Website:
Map and Directions
Authorized official contact:
Name: Massuda, Fortunee Doctor of Podiatric Medicine (DPM)
Phone: (773) 752-2111

Health care specialties

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

Profile Details

NPI number 1609868041
LBN Legal business name Hyde Park Surgery Center, Llc
DBA Doing business as
Authorized official Massuda, Fortunee Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2005
Last updated Nov 23rd, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609868041 NPPES
Illinois Other 50460 BCBS

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