AMBULATORY SURGICAL CARE FACILITY LLC NPI 1497055032

NPI Information

NPI: 1497055032
Provider Name: AMBULATORY SURGICAL CARE FACILITY, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1281 N FARNSWORTH AVE
AURORA, IL
ZIP 60505
Phone: (773) 283-3131
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AMBULATORY SURGICAL CARE FACILITY, LLC is an ambulatory surgical clinic center in Aurora, IL. AMBULATORY SURGICAL CARE FACILITY, LLC NPI is 1497055032. The provider is registered as an organization entity type.

The provider's business location address is:

1281 N FARNSWORTH AVE
AURORA, IL
ZIP 60505-445
Phone: (773) 283-3131

The provider's authorized official is Derrick D Wallery .
The authorized official title is Ceo / President and has the following contact phone number (773) 283-3131.

The enumeration date for this NPI number is 10/29/2010 and was last updated on 10/29/2010.

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

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