Golf Western Surgical Specialists, LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036055404 Issued in IL

Legal business name

GOLF WESTERN SURGICAL SPECIALISTS, LTD

Practice address

8901 Golf Rd
Suite 305
Des Plaines, IL 60016-6850

Phone

(847) 299-8844

Fax

(847) 299-6420

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Joubin Khorsand, M.D.

Title

President

Phone

(847) 299-8844

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Melissa Childs, PA

  • Physician Assistant
  • Glenview, IL
  • NPI 1821041823
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1043384944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 GOLF RD",
            "address_2": "SUITE 305",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166850",
            "telephone_number": "847-299-8844",
            "fax_number": "847-299-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 GOLF RD",
            "address_2": "SUITE 305",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166850",
            "telephone_number": "847-299-8844",
            "fax_number": "847-299-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLF WESTERN SURGICAL SPECIALISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "KHORSAND",
        "authorized_official_first_name": "JOUBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-299-8844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036055404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01617001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055404",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GNS Supply Inc
• Gold Health Home Care Corp
• Golf Chiropractic LTD
• Golf Diagnostic Imaging Center, LP
• Golf Glen Dentistry
• Golfview Developmental Center, Inc.
• Gabriela Gomez Jaime
• Cindy Gomez
• Stefanie Margarita Gomez
• Angela M Gonzales

• Surgery Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.