| Center for Minimally Invasive Surgery | |
|
19110 Darvin Drive Mokena IL 60448 | |
| (708) 478-8889 | |
| (708) 478-8507 |
| Full Name | Center for Minimally Invasive Surgery |
|---|---|
| Speciality | Clinic/Center |
| Location | 19110 Darvin Drive, Mokena, Illinois |
| Authorized Official Name and Position | Deborah Gardiner (BOARD MEMBER/MANAGER) |
| Authorized Official Contact | 3123998427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center for Minimally Invasive Surgery 19110 Darvin Drive Mokena IL 60448 Ph: (708) 478-8889 | Center for Minimally Invasive Surgery 19110 Darvin Drive Mokena IL 60448 Ph: (708) 478-8889 |
| NPI Number | 1598700841 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Medicare PECOS PAC ID | 5799779708 |
|---|---|
| Medicare Enrollment ID | O20040413000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598700841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7002595 (Illinois) | Primary |
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