Provider Demographics
NPI:1467461277
Name:SURGICAL CONSULTANTS OF JOLIET, LTD
Entity Type:Organization
Organization Name:SURGICAL CONSULTANTS OF JOLIET, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-725-2277
Mailing Address - Street 1:2 UNO CIR
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6653
Mailing Address - Country:US
Mailing Address - Phone:815-725-2277
Mailing Address - Fax:815-725-7870
Practice Address - Street 1:2 UNO CIR
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6653
Practice Address - Country:US
Practice Address - Phone:815-725-2277
Practice Address - Fax:815-725-7870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty