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CARLOS ORTEGA MD SC NPI 1295753093


NPI Information

NPI: 1295753093
Provider Name: CARLOS ORTEGA MD SC

Doing Business As: BOFFA SURGICAL GROUP LLC

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
5140 N CALIFORNIA AVE STE 780
CHICAGO, IL
ZIP 60625
Phone: (773) 235-8887
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CARLOS ORTEGA MD SC is a surgery in Chicago, 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. CARLOS ORTEGA MD SC NPI is 1295753093. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Boffa Surgical Group Llc.

The provider's business location address is:

5140 N CALIFORNIA AVE STE 780
CHICAGO, IL
ZIP 60625-066
Phone: (773) 235-8887
Fax: (773) 235-8882

The provider's authorized official is Carlos D Ortega .
The authorized official title is Employee and has the following contact phone number (773) 235-8887.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 5/5/2011.


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
12086S0102XSurgerySurgical Critical Care036100042ILLINOISNo
22086S0127XSurgeryTrauma Surgery036100042ILLINOISNo
3208600000XSurgery036100042ILLINOISYes

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
1H62949MEDICARE UPINILLINOIS
2632970MEDICARE PINILLINOIS
31629966OTHERILLINOISBCBS IL NIESS
4036100042MEDICAIDILLINOIS
51630046OTHERILLINOISBCBSIL BSG
6686000MEDICARE 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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