Provider Demographics
NPI:1043336530
Name:CARDINAL SURGERY SYSTEMS PC
Entity Type:Organization
Organization Name:CARDINAL SURGERY SYSTEMS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:ANDRES
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-772-1212
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-0249
Mailing Address - Country:US
Mailing Address - Phone:773-772-1212
Mailing Address - Fax:773-772-8666
Practice Address - Street 1:3538 W FULLERTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-2443
Practice Address - Country:US
Practice Address - Phone:773-772-1212
Practice Address - Fax:773-772-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty