0001656272-18-000001.txt : 20181022
0001656272-18-000001.hdr.sgml : 20181022
20181022164334
ACCESSION NUMBER: 0001656272-18-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20181022
DATE AS OF CHANGE: 20181022
EFFECTIVENESS DATE: 20181022
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Advocate Condell Ambulatory Surgery Center, LLC
CENTRAL INDEX KEY: 0001656272
IRS NUMBER: 475337115
STATE OF INCORPORATION: IL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-324065
FILM NUMBER: 181132636
BUSINESS ADDRESS:
STREET 1: 825 S. MILWAUKEE AVE.
CITY: LIBERTYVILLE
STATE: IL
ZIP: 60048
BUSINESS PHONE: (205) 545-2734
MAIL ADDRESS:
STREET 1: 825 S. MILWAUKEE AVE.
CITY: LIBERTYVILLE
STATE: IL
ZIP: 60048
D
1
primary_doc.xml
X0708
D
LIVE
0001656272
Advocate Condell Ambulatory Surgery Center, LLC
825 S. MILWAUKEE AVE.
LIBERTYVILLE
IL
ILLINOIS
60048
(205) 545-2734
ILLINOIS
None
None
Limited Liability Company
true
2015
Juan
Alzate, M.D.
825 S. Milwaukee Ave.
Libertyville
IL
ILLINOIS
60048
Director
Drew
Bell
825 S. Milwaukee Ave.
Libertyville
IL
ILLINOIS
60048
Director
Justin
Cohen, M.D.
825 S. Milwaukee Ave.
Libertyville
IL
ILLINOIS
60048
Director
Bill
Drehkoff
825 S. Milwaukee Ave.
Libertyville
IL
ILLINOIS
60048
Director
Trent
Gordon
825 S. Milwaukee Ave.
Libertyville
IL
ILLINOIS
60048
Director
Amit
Parikh, D.O.
825 S. Milwaukee Ave.
Libertyville
IL
ILLINOIS
60048
Director
Lisa
Just
825 S. Milwaukee Ave.
Libertyville
IL
ILLINOIS
60048
Director
Other Health Care
Decline to Disclose
- 06b
false
true
false
true
false
0
N/A
None
SCA Development, LLC
35451
569 Brookwood Village
Suite 901
Birmingham
AL
ALABAMA
35209
DE
DELAWARE
IL
ILLINOIS
IA
IOWA
false
198000
0
198000
false
0
0
6000
0
false
Advocate Condell Ambulatory Surgery Center, LLC
Drew Bell
Drew Bell
Manager
2018-10-22