| Hssi Mco Spv LLC | |
|
1851 Silver Cross Blvd Ste 110 New Lenox IL 60451 | |
| (815) 300-3060 | |
| Not Available |
| Full Name | Hssi Mco Spv LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1851 Silver Cross Blvd, New Lenox, Illinois |
| Authorized Official Name and Position | Amy Owens (DIRECTOR , FINANCE) |
| Authorized Official Contact | 8153007106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hssi Mco Spv LLC 1900 Silver Cross Blvd New Lenox IL 60451-9509 | Hssi Mco Spv LLC 1851 Silver Cross Blvd Ste 110 New Lenox IL 60451 Ph: (815) 300-3060 |
| NPI Number | 1154912202 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 02/01/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154912202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 207T00000X | Neurological Surgery | () | Secondary |
| 208600000X | Surgery | () | Secondary |
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