Keystone Surgicare Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KEYSTONE SURGICARE INC

Practice address

3330 W 177TH St
Suite 2C
Hazel Crest, IL 60429-2184

Phone

(708) 799-1144

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Martin R Hall, M.D.

Title

Director of Center

Phone

(708) 799-1144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1043429277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 2C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-799-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 2C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-799-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE SURGICARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF CENTER",
        "authorized_official_telephone_number": "708-799-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khatera Karzai, DO
• Tanjeev Kaur, M.D.
• Kyriaki M Keenan, PA-C
• Keith Renfroe
• Keystone Orthopedic Specialists S C
• Shahzaib Khan, DO
• Julie Kim, MD
• Solomon Kim, M.D.
• Lou Ann Kinsella, RD, LDN
• N Haluk Kitapci, MD

• Ambulatory Surgical Clinic/Center in Hazel Crest, IL
• Providers in Hazel Crest, 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 23, 2009; 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.