Ashpole Surgery Center LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ASHPOLE SURGERY CENTER LLC

Practice address

1107 N Prospect Ave
Itasca, IL 60143-1408

Phone

(847) 884-8346

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Bradley Ashpole, MDNPI 1457516866

Title

Ceo

Phone

(847) 650-5818

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bradley Lane Ashpole, M.D.

  • Plastic Surgery Physician
  • Itasca, IL
  • NPI 1457516866
  NPD Authorized official

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1063249357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W ESTATE LN E",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453623",
            "telephone_number": "847-650-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N PROSPECT AVE",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431408",
            "telephone_number": "847-884-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHPOLE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "ASHPOLE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-650-5818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Aguilar
• Nour Al-Hadidi, MD
• Ariana Aldama
• Faith Appiagyei
• Arbor of Itasca, Inc
• Bradley Lane Ashpole, M.D.
• Michaela Austin
• Alexander Ayala, RBT-18-52915
• Lesgreen Gammad Babaran, PT
• Tatyana Bannon

• Plastic Surgery Physician in Itasca, IL
• Providers in Itasca, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.