Provider Demographics
NPI:1255455366
Name:AMERICAN SURGICAL SERVICES, INC
Entity type:Organization
Organization Name:AMERICAN SURGICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:GUSINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-993-9999
Mailing Address - Street 1:5011 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2611
Mailing Address - Country:US
Mailing Address - Phone:312-993-9999
Mailing Address - Fax:773-769-6917
Practice Address - Street 1:5011 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2611
Practice Address - Country:US
Practice Address - Phone:312-993-9999
Practice Address - Fax:773-769-6917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical