Provider Demographics
NPI:1528332186
Name:LINDENHURST SURGERY CENTER LLC
Entity type:Organization
Organization Name:LINDENHURST SURGERY CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-372-8210
Mailing Address - Street 1:1050 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60046-4998
Mailing Address - Country:US
Mailing Address - Phone:224-372-8210
Mailing Address - Fax:
Practice Address - Street 1:1050 RED OAK LN
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:IL
Practice Address - Zip Code:60046-4998
Practice Address - Country:US
Practice Address - Phone:847-356-4715
Practice Address - Fax:847-356-4799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical