Physicians Surgery Center at Good Samaritan, LLC
Physicians Surgery Center at Good Samaritan, LLC is an Ambulatory Surgical Clinic/Center in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2 Good Samaritan Way Ste 200Mount Vernon, IL 62864-2476
Phone: (618) 899-5703
Fax: (618) 899-5704
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 7003172 (IL) |
|---|
Record details
| NPI number | 1285980151 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joon Ahn — Authorized Official - Owner · (618) 899-5703 |
| Other names | Good Samaritan Surgery Center; Good Samaritan Surgery Center |
| NPI enumerated | July 30, 2012 |
| Last updated in NPPES | January 8, 2025 |
| Certification date | January 8, 2025 |
| Mailing address | 2 Good Samaritan Way, Ste 200, Mount Vernon, IL 62864-2476 |
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