1800 McDonough Road Surgery Center LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Hoffman Estates, IL
NPI 1053597161 · NPPES record last updated Jan 18, 2008
Key facts
- NPI
- 1053597161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 7003116 (IL)
- Legal business name
- 1800 MCDONOUGH ROAD SURGERY CENTER LLC
- Practice address
- 1800 McDonough Rd
Suite 100
Hoffman Estates, IL 60192-4566 - Phone
- (847) 742-7272
- NPI assigned
- Jan 18, 2008
- Organization subpart
- No
Authorized official
- Name
- Kianoosh Jafari, M.D.
- Title
- Owner
- Phone
- (630) 990-7770
Practitioners 1
-
Kianoosh Jafari, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- 1800 McDonough Road Surgery Center LLC
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090929000297 | IL | Part B Supplier - Ambulatory Surgical Center | 9537215801 | Practice locations: Hoffman Estates, IL |
National Provider Directory
Locations
1800 McDonough Rd
Hoffman Estates, IL 60192
Phone (708) 742-9990
2607 W 22nd St
Ste 48
Oak Brook, IL 60523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 7003116 | IL | Yes |
Addresses
Primary practice location
1800 McDonough Rd
Suite 100
Hoffman Estates, IL 60192-4566
Mailing address
2607 W 22ND St
Suite 48
Oak Brook, IL 60523-1231
Phone (630) 990-7770
Other providers in Hoffman Estates, IL
- 100 Chiro Jackson Thakkar PLLC
- A Better You Counseling, PLLC
- A Healing Soul, LTD.
- A Melissa Vargas DMD, LTD
- A.R. Zand, M.D., S.C.
- Aafiyah Solutions Inc
All providers in Hoffman Estates, IL · Ambulatory Surgical Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.