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NAPERVILLE SURGICAL CENTRE LLC NPI 1164584066


NPI Information

NPI: 1164584066
Provider Name: NAPERVILLE SURGICAL CENTRE LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D0879701

Address:
1263 RICKERT DR
NAPERVILLE, IL
ZIP 60540
Phone: (630) 305-3300
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NAPERVILLE SURGICAL CENTRE LLC is an ambulatory surgical clinic center in Naperville, IL. NAPERVILLE SURGICAL CENTRE LLC NPI is 1164584066. The provider is registered as an organization entity type.

The provider's business location address is:

1263 RICKERT DR
NAPERVILLE, IL
ZIP 60540-954
Phone: (630) 305-3300
Fax: (630) 305-3301

The provider's authorized official is Ronald P Ladniak .
The authorized official title is Administrator and has the following contact phone number (630) 852-9300.

The CLIA number assigned to this NPI record is 14D0879701 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 7/20/2016.


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
1261QA1903XClinic/CenterAmbulatory Surgical7003205ILLINOISYes

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
1207918MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PROVIDER NUMBER
2P00103349OTHERILLINOISRAILROAD MEDICARE

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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