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General NPI Number Information
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NPI Number | 1619469244
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Entity Type | Organization
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Legal Business Name | RUSH OAK BROOK SURGERY CENTER, LLC
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 2011 YORK RD STE 3000
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City | OAK BROOK
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State | IL
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Zip | 60523-2156
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Country | US
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Telephone | 304-722-4456
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Fax | 630-472-2446
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Provider Business Mailing Address
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Address Line | 2011 YORK RD STE 3000
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City | OAK BROOK
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State | IL
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Zip | 60523-2156
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Country | US
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Telephone | 630-472-2445
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Fax | 630-472-2446
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Authorized Official
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Title or Position | CEO
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Name | DEBORAH LEE CROOK
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Credential |
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Telephone | 630-472-2445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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