NPI: 1619013455 · CHICAGO, IL 60612 · Ambulatory Surgical Clinic/Center · NPI assigned 01/29/2007
| Authorized Official | AVILA, MARGARET (FINANCE DIRECTOR) |
| NPI Enumeration Date | 01/29/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 62323 | 14 | 12 | $2K |