NPIMap

River Forest Surgery Center LLC

A Medicare group practice based in River Forest, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6800885492), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800885492The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040510000254 IL Part B Supplier - Clinic/Group Practice 1194727727
O20050629000713 IL Part B Supplier - Ambulatory Surgical Center 1083615470

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).

Sources for this page