Organization Active NPI

Midwest Surgery S.C.

  • Surgery Physician
  • St Charles, IL
National Provider Identifier
1013920990
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MIDWEST SURGERY S.C.
Practice address
2210 Dean St
Suite B
St Charles, IL 60175-1066
Phone
(630) 377-5300
Fax
(630) 377-6721
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John White
Title
President
Phone
(630) 377-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2210 Dean St
Suite B
St Charles, IL 60175-1066

Mailing address

2210 Dean St
Suite B
St Charles, IL 60175-1066
Phone (630) 377-5300

National Provider Directory

National Provider Directory

Locations

2210 Dean St
Ste B
St Charles, IL 60175
Phone (630) 377-5300

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013920990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "SUITE B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-377-5300",
            "fax_number": "630-377-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "SUITE B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-377-5300",
            "fax_number": "630-377-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGERY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-377-5300"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.