Midwest Surgical Associates, S.C.

LBN: Midwest Surgical Associates, S.C.
Midwest Surgical Associates, S.C. is an health care organization with primary practice located at 5201 Willow Springs Rd Suite 180, La Grange Highlands IL 60525-6537. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Midwest Surgical Associates, S.C. can be contacted via phone (708) 579-9705, or through Hagen, Colleen Ann via phone (708) 579-9705.

Contact Information

Primary practice address
5201 Willow Springs Rd Suite 180 La Grange Highlands IL 60525-6537
Phone: (708) 579-9705
Fax: (708) 579-0346
Website:
Map and Directions
Authorized official contact:
Name: Hagen, Colleen Ann Doctor of Medicine (MD)
Phone: (708) 579-9705

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-053291 Illinois

Profile Details

NPI number 1881729879
LBN Legal business name Midwest Surgical Associates, S.C.
DBA Doing business as
Authorized official Hagen, Colleen Ann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 29th, 2013 - about 13 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 1881729879 NPPES
Illinois MEDICAID 273425786603013
Illinois Other 31600057

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