Northwest Endo Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7003210 Issued in IL

Legal business name

NORTHWEST ENDO CENTER LLC

Practice address

1415 S Arlington Heights Rd
Arlington Heights, IL 60005-3765

Phone

(847) 618-4747

NPI assigned

Apr 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stephen O Scogna

Title

Ceo

Phone

(847) 618-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Northwest Endo Center LLCCCN 14C0001168

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Highland Park, IL
  • NPI 1609817220

  Member Of

  NPD member
• Illinois Gastroenterology Group, LLC

  • Gastroenterology Physician
  • Elgin, IL
  • NPI 1316277817

  Member Of

  NPD member

Locations

Networks

• IL HMO

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1003260498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 W SALT CEEK LANE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053765",
            "telephone_number": "847-618-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ENDO CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "SCOGNA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-618-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7003210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Community Hospital
• Northwest Community Hospital
• Northwest Community Hospital
• Northwest Community Physicians Association LLC
• Northwest Community Women Services LLC
• Northwest Endodontics LTD
• Northwest Eye Physicians Surgery Suite LLC
• Northwest Eye Physicians, LTD
• Northwest Family Medicine Inc
• Northwest Family Physicians LLC

• Ambulatory Surgical Clinic/Center in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.