Provider Demographics
NPI:1821750431
Name:UNIQUE CARE SURGICAL INC
Entity Type:Organization
Organization Name:UNIQUE CARE SURGICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:312-292-1308
Mailing Address - Street 1:26 E SCRANTON AVE UNIT 432
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-3217
Mailing Address - Country:US
Mailing Address - Phone:312-292-1308
Mailing Address - Fax:
Practice Address - Street 1:3814 HARMONY DR
Practice Address - Street 2:
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099-9549
Practice Address - Country:US
Practice Address - Phone:847-525-8856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty