Federer Surgical Services LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036072388 Issued in IL

Legal business name

FEDERER SURGICAL SERVICES LTD

Practice address

2740 W Foster Ave
Suite 213
Chicago, IL 60625-3500

Phone

(773) 293-4001

NPI assigned

Feb 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Howard Clark Federer III, M.D.

Title

President

Phone

(773) 293-4001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1073819165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "SUITE 213",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-293-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "SUITE 213",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-293-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERER SURGICAL SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "FEDERER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-293-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036072388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Feder, D.P.M.
• Robert Scott Feder, M.D.
• Federacion de Clubes Michoacanos En Illinois
• Federal Health Support Services
• John Paul Federbusch, M.D.
• Howard Clark Federer III, M.D.
• Linda Ferris Federer, NP
• Bohdan Fedirko, MD
• Julie Marie Fedorko, DO
• Deandrea Denise Fedrick, TVI

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.