ALGONQUIN ROAD SURGERY CENTER LLC NPI 1558344846

NPI Information

NPI: 1558344846
Provider Name: ALGONQUIN ROAD SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 14D1001080
Address: 2550 W ALGONQUIN RD
LAKE IN THE HILLS, IL
ZIP 60156
Phone: (847) 458-1246

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NPI Details

ALGONQUIN ROAD SURGERY CENTER, LLC is an ambulatory surgical clinic center in Lake In The Hills, IL. ALGONQUIN ROAD SURGERY CENTER, LLC NPI is 1558344846. The provider is registered as an organization entity type.

The provider's business location address is:

2550 W ALGONQUIN RD
LAKE IN THE HILLS, IL
ZIP 60156-503
Phone: (847) 458-1246
Fax: (847) 458-1509

The provider's authorized official is Judith Kazy-garey .
The authorized official title is Executive Director and has the following contact phone number (847) 960-1044.

The CLIA number assigned to this NPI record is 14D1001080 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
Release and/or relocation of hand nerve (HCPCS:64721)
Incision of tendon covering of finger (HCPCS:26055)
Correction of toe joint deformity (HCPCS:28285)
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
Transfer of tendon to back of hand (HCPCS:26480)
Removal of bone joints between wrist and fingers (HCPCS:25447)

The enumeration date for this NPI number is 11/21/2005 and was last updated on 6/3/2025.

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		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	50195	OTHER	ILLINOIS	BLUE CROSS BLUE SHEILD IL

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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