ELMWOOD PARK SAME DAY SURGERY LLC NPI 1902949613

NPI Information

NPI: 1902949613
Provider Name: ELMWOOD PARK SAME DAY SURGERY LLC

Doing Business As: SAMEDAY SURGERY ELMWOOD PARK

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1614 N HARLEM AVE
ELMWOOD PARK, IL
ZIP 60707
Phone: (708) 452-5000
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ELMWOOD PARK SAME DAY SURGERY LLC is an ambulatory surgical clinic center in Elmwood Park, IL. ELMWOOD PARK SAME DAY SURGERY LLC NPI is 1902949613. The provider is registered as an organization entity type.
The provider Is Doing Business As Sameday Surgery Elmwood Park.

The provider's business location address is:

1614 N HARLEM AVE
ELMWOOD PARK, IL
ZIP 60707-302
Phone: (708) 452-5000
Fax: (708) 452-5588

The provider's authorized official is Kim Zidonis .
The authorized official title is Administrator and has the following contact phone number (312) 573-5800.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 6/27/2012.

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	7002387	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	50405	OTHER	IDAHO	BCBS
2	=========001	MEDICAID	ILLINOIS
3	212146	MEDICARE PIN	ILLINOIS

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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