Active NPI
Grabowski Surgical Associates SC
- Surgery Physician
- Elk Grove Village, IL
National Provider Identifier
1003953761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036-073619
- Legal business name
- GRABOWSKI SURGICAL ASSOCIATES SC
- Practice address
- 800 Biesterfield Rd
Suite 3004
Elk Grove Village, IL 60007-3311 - Phone
- (847) 439-7515
- Fax
- (847) 439-7523
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen T Grabowski, MD
- Title
- Owner
- Phone
- (847) 439-7515
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036-073619 | IL | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 036-092227 | IL |
Addresses
Primary practice location
800 Biesterfield Rd
Suite 3004
Elk Grove Village, IL 60007-3311
Mailing address
800 Biesterfield Rd
Suite 3004
Elk Grove Village, IL 60007-3311
Phone (847) 439-7515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21600403 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285891200000",
"number": "1003953761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "SUITE 3004",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073311",
"telephone_number": "847-439-7515",
"fax_number": "847-439-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "SUITE 3004",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073311",
"telephone_number": "847-439-7515",
"fax_number": "847-439-7523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRABOWSKI SURGICAL ASSOCIATES SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2010-10-01",
"status": "A",
"authorized_official_last_name": "GRABOWSKI",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-439-7515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "IL",
"license": "036-073619",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IL",
"license": "036-092227",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "21600403",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.