NORTHWEST SUBURBAN SURGICAL SERVICES NPI 1740335165

NPI Information

NPI: 1740335165
Provider Name: NORTHWEST SUBURBAN SURGICAL SERVICES
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
39 S VIRGINIA ST
SUITE 200
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 477-8911
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NORTHWEST SUBURBAN SURGICAL SERVICES is an ambulatory surgical clinic center in Crystal Lake, IL. NORTHWEST SUBURBAN SURGICAL SERVICES NPI is 1740335165. The provider is registered as an organization entity type.

The provider's business location address is:

39 S VIRGINIA ST
SUITE 200
CRYSTAL LAKE, IL
ZIP 60014-826
Phone: (815) 477-8911
Fax: (815) 477-8911

The provider's authorized official is Ronald Jay Leib .
The authorized official title is Owner and has the following contact phone number (815) 477-8911.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 8/22/2020.

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 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: 5/5/2024

NPI Synchronization or Removal

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