GOLD COAST SURGICENTER LLC NPI 1578876124

NPI Information

  • NPI: 1578876124
  • Provider Name: GOLD COAST SURGICENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 845 N MICHIGAN AVE
    SUITE 985 WEST
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 521-5500

Map and Directions

Get Directions

NPI Details

GOLD COAST SURGICENTER, LLC is an ambulatory surgical clinic center in Chicago, IL. GOLD COAST SURGICENTER, LLC NPI is 1578876124. The provider is registered as an organization entity type.

The provider's business location address is:

845 N MICHIGAN AVE
SUITE 985 WEST
CHICAGO, IL
ZIP 60611-252
Phone: (312) 521-5500
Fax: (312) 202-0492

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

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.

  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 7/23/2010 and was last updated on 3/6/2023.

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 Surgical7003150ILLINOISYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI