FS
FULLERTON SURGERY CENTER LTD
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
CHICAGO, IL
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1285675678
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients31
RevalidationDue 2024-06-30
Authorized official
NameNASER RUSTOM
TitleOWNER/MEDICAL DIRECTOR
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