S. O. Group, SC
S. O. Group, SC provides Surgery Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
1725 W Harrison St Ste 409Chicago, IL 60612 Not confirmed with CMS for 17 years — call before visiting
Phone: (312) 942-2302
Fax: (312) 563-2228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 042.006019 (IL) |
|---|---|
| Surgical Oncology Physician | Taxonomy 2086X0206X · Licence 042.006019 (IL) |
Record details
| NPI number | 1699008706 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Witt — President · (312) 942-2302 |
| NPI enumerated | September 9, 2009 |
| Last updated in NPPES | September 9, 2009 |
| Mailing address | 1725 W. Harrison Street, Suite 409, Chicago, IL 60612 |
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