TINLEY PARK SURGICARE NPI 1316071715

NPI Information

  • NPI: 1316071715
  • Provider Name: TINLEY PARK SURGICARE
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 17728 OAK PARK AVE
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 429-5968

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NPI Details

TINLEY PARK SURGICARE is an ambulatory surgical clinic center in Tinley Park, IL. TINLEY PARK SURGICARE NPI is 1316071715. The provider is registered as an organization entity type.

The provider's business location address is:

17728 OAK PARK AVE
TINLEY PARK, IL
ZIP 60477-949
Phone: (708) 429-5968

The provider's authorized official is Gary John Thomas .
The authorized official title is Provider and has the following contact phone number (708) 429-5968.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.

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
1261QA1903XClinic/CenterAmbulatory SurgicalILLINOISYes

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: 11/21/2025

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