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METRO NORTH SURGICAL CENTER NPI 1508464074


NPI Information

NPI: 1508464074
Provider Name: METRO NORTH SURGICAL CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D2213411

Address:
2651 N LARAMIE AVE
CHICAGO, IL
ZIP 60639
Phone: (920) 217-6052
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METRO NORTH SURGICAL CENTER is an ambulatory surgical clinic center in Chicago, IL. METRO NORTH SURGICAL CENTER NPI is 1508464074. The provider is registered as an organization entity type.

The provider's business location address is:

2651 N LARAMIE AVE
CHICAGO, IL
ZIP 60639-613
Phone: (920) 217-6052

The provider's authorized official is Jamie L Vandenelzen .
The authorized official title is Owner and has the following contact phone number (920) 217-6052.

The CLIA number assigned to this NPI record is 14D2213411 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2020 and was last updated on 10/15/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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.