Type 2 organization · NPI 1003005463
KING CITY SURGERY CENTER, S.C.
208G00000X · MOUNT VERNON, IL
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 208G00000X | 208G00000X | Primary |
| 208600000X | 208600000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s