NPI: 1619920501 · BOURBONNAIS, IL 60914 · Ambulatory Surgical Clinic/Center · NPI assigned 05/19/2006
| Authorized Official | O'CONNOR, CHRISTINA (ADMINISTRATOR) |
| NPI Enumeration Date | 05/19/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $449.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12 | 12 | $449.20 |