NPIMap

Organization Active NPI

West Suburban Medical & Surgical Associates,S.C.

  • Specialist
  • Aurora, IL
National Provider Identifier
1013076181
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042618478 Issued in IL
Legal business name
WEST SUBURBAN MEDICAL & SURGICAL ASSOCIATES,S.C.
Practice address
330 Weston Ave
Aurora, IL 60505-4767
Phone
(630) 801-0031
Fax
(630) 801-0199
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Joseph M. Tages, M.D.NPI 1417964206
Title
President
Phone
(630) 801-0031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 042618478 IL Primary

Addresses

Primary practice location

330 Weston Ave
Aurora, IL 60505-4767

Mailing address

330 Weston Ave
Aurora, IL 60505-4767
Phone (630) 801-0031

Other identifiers 1

IdentifierTypeStateIssuer
042618478OtherILILLINOIS REGISTERED MEDIC

Other names 1

  • Aurora Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

3 N Smith St
Ste B
Aurora, IL 60505
Phone (630) 375-1472

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1013076181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WESTON AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054767",
            "telephone_number": "630-801-0031",
            "fax_number": "630-801-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WESTON AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054767",
            "telephone_number": "630-801-0031",
            "fax_number": "630-801-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN MEDICAL & SURGICAL ASSOCIATES,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "TAGES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-801-0031",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "042618478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS REGISTERED MEDIC",
            "identifier": "042618478",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.