RIVER NORTH SAME DAY SURGERY LLC NPI 1922141647

NPI Information

NPI: 1922141647
Provider Name: RIVER NORTH SAME DAY SURGERY LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D0710077

Address:
1 E ERIE ST
SUITE 300
CHICAGO, IL
ZIP 60611
Phone: (312) 649-3939
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RIVER NORTH SAME DAY SURGERY LLC is an ambulatory surgical clinic center in Chicago, IL. RIVER NORTH SAME DAY SURGERY LLC NPI is 1922141647. The provider is registered as an organization entity type.

The provider's business location address is:

1 E ERIE ST
SUITE 300
CHICAGO, IL
ZIP 60611-740
Phone: (312) 649-3939
Fax: (312) 649-5747

The provider's authorized official is Madhavi Rampalli .
The authorized official title is Regional Business Office Manager and has the following contact phone number (312) 573-2981.

The CLIA number assigned to this NPI record is 14D0710077 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 1/23/2012.

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	7002090	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	212145	MEDICARE PIN	ILLINOIS
2	518	OTHER	ILLINOIS	BCBS
3	212145	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
4	=========001	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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