CDN SURGICAL ASSOC. LTD. NPI 1528114501

NPI Information

NPI: 1528114501
Provider Name: CDN SURGICAL ASSOC., LTD.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2913 N COMMONWEALTH AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 472-3427
Get Directions

CDN SURGICAL ASSOC., LTD. is a vascular surgery surgery in Chicago, IL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CDN SURGICAL ASSOC., LTD. NPI is 1528114501. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2913 N COMMONWEALTH AVE
CHICAGO, IL
ZIP 60657-211
Phone: (773) 472-3427
Fax: (773) 472-8561

The provider's authorized official is Karen Urso .
The authorized official title is Medical Billing Manager and has the following contact phone number (773) 763-3445.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 12/21/2007.

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 State	Primary
1	2086X0206X	Surgery	Surgical Oncology	ILLINOIS	No
2	208C00000X	Colon & Rectal Surgery		ILLINOIS	No
3	2086S0129X	Surgery	Vascular Surgery	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	709210	MEDICARE PIN	ILLINOIS
2	0001618161	OTHER	ILLINOIS	BC BS OF IL GROUP NUMBER
3	CA6608	OTHER	ILLINOIS	MEDICARE RAILROAD PART B

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

NPI Synchronization or Removal

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