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SIX CORNERS SAME DAY SURGERY LLC. NPI 1184638975


NPI Information

NPI: 1184638975
Provider Name: SIX CORNERS SAME DAY SURGERY, LLC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D0978073

Address:
4211 N CICERO AVE
SUITE 400
CHICAGO, IL
ZIP 60641
Phone: (773) 545-6900
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SIX CORNERS SAME DAY SURGERY, LLC. is an ambulatory surgical clinic center in Chicago, IL. SIX CORNERS SAME DAY SURGERY, LLC. NPI is 1184638975. The provider is registered as an organization entity type.

The provider's business location address is:

4211 N CICERO AVE
SUITE 400
CHICAGO, IL
ZIP 60641-651
Phone: (773) 545-6900
Fax: (773) 545-2220

The provider's authorized official is Sarmed G. Elias .
The authorized official title is President and has the following contact phone number (773) 545-6900.

The CLIA number assigned to this NPI record is 14D0978073 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 6/12/2008.


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
1261QA1903XClinic/CenterAmbulatory Surgical7002645ILLINOISYes

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
1P00011720OTHERILLINOISMEDICARE RAILROAD
2204436MEDICARE ID-TYPE UNSPECIFIEDILLINOISPROVIDER NUMBER
35883800001MEDICARE NSCILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.