WESTERN AVENUE SURGICAL ASSOCIATES LLC NPI 1285859595

NPI Information

NPI: 1285859595
Provider Name: WESTERN AVENUE SURGICAL ASSOCIATES, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
712 N DEARBORN ST
CHICAGO, IL
ZIP 60654
Phone: (312) 981-1297
Get Directions

WESTERN AVENUE SURGICAL ASSOCIATES, LLC is an ambulatory surgical clinic center in Chicago, IL. WESTERN AVENUE SURGICAL ASSOCIATES, LLC NPI is 1285859595. The provider is registered as an organization entity type.

The provider's business location address is:

712 N DEARBORN ST
CHICAGO, IL
ZIP 60654-818
Phone: (312) 981-1297

The provider's authorized official is Gary Wiesman .
The authorized official title is Co-owner and has the following contact phone number (312) 981-1297.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 5/6/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »