NOVAMED SURGERY CENTER OF CHICAGO-NORTHSHORE LLC NPI 1992709851

NPI Information

NPI: 1992709851
Provider Name: NOVAMED SURGERY CENTER OF CHICAGO-NORTHSHORE, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3034 W PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 973-7432
Get Directions

NOVAMED SURGERY CENTER OF CHICAGO-NORTHSHORE, LLC is an ambulatory surgical clinic center in Chicago, IL. NOVAMED SURGERY CENTER OF CHICAGO-NORTHSHORE, LLC NPI is 1992709851. The provider is registered as an organization entity type.

The provider's business location address is:

3034 W PETERSON AVE
CHICAGO, IL
ZIP 60659-729
Phone: (773) 973-7432
Fax: (773) 973-1119

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) 234-5900.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 5/11/2021.

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	7002678	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	326488082001	MEDICAID	ILLINOIS
2	P00012000	OTHER		RR MEDICARE

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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