Provider Demographics
NPI:1376761056
Name:SU SALUD MEDICAL CENTER, LLC
Entity Type:Organization
Organization Name:SU SALUD MEDICAL CENTER, LLC
Other - Org Name:ARTURO LEMA MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-730-6200
Mailing Address - Street 1:6001 W CERMAK RD
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-2018
Mailing Address - Country:US
Mailing Address - Phone:708-656-5230
Mailing Address - Fax:708-656-6610
Practice Address - Street 1:6001 W CERMAK RD
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-2018
Practice Address - Country:US
Practice Address - Phone:708-656-5230
Practice Address - Fax:708-656-6610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty