Provider Demographics
NPI:1760198014
Name:SUMMIT CENTER FOR SURGERY LLC
Entity Type:Organization
Organization Name:SUMMIT CENTER FOR SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJZOUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-426-3980
Mailing Address - Street 1:1S210 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3933
Mailing Address - Country:US
Mailing Address - Phone:630-426-3969
Mailing Address - Fax:630-477-0465
Practice Address - Street 1:1S210 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3933
Practice Address - Country:US
Practice Address - Phone:630-426-3969
Practice Address - Fax:630-477-0465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical