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CENTER FOR SURGERY & BREAST HEALTH LLC NPI 1164516217


NPI Information

NPI: 1164516217
Provider Name: CENTER FOR SURGERY & BREAST HEALTH, LLC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 14D0992001

Address:
300 BARNEY DR STE A
JOLIET, IL
ZIP 60435
Phone: (815) 744-0330
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CENTER FOR SURGERY & BREAST HEALTH, LLC is a surgery in Joliet, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CENTER FOR SURGERY & BREAST HEALTH, LLC NPI is 1164516217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 BARNEY DR STE A
JOLIET, IL
ZIP 60435-269
Phone: (815) 744-0330
Fax: (815) 744-0445

The provider's authorized official is Wendy J Marshall .
The authorized official title is President and has the following contact phone number (815) 744-0330.

The CLIA number assigned to this NPI record is 14D0992001 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 10/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200927MEDICARE PINILLINOIS
29930030OTHERILLINOISBCBS PROVIDER GRP #
3918660MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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