Active NPI
Chicago Children'S Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Chicago, IL
National Provider Identifier
1083461735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CHICAGO CHILDREN'S SURGERY CENTER, LLC
- Practice address
- 8658 S Sacramento Ave
Chicago, IL 60652-3800 - Phone
- (301) 494-3000
- NPI assigned
- May 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Wheeler
- Title
- Ceo
- Phone
- (301) 494-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
8658 S Sacramento Ave
Chicago, IL 60652-3800
Mailing address
1220 Caraway CT Ste 1050
Upper Marlboro, MD 20774-5338
Phone (301) 494-3000
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2333535 | Chicago Children'S Surgery Center | Certificate of waiver | Nov 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
8658 S Sacramento Ave
Chicago, IL 60652
Phone (312) 388-5116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1083461735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 CARAWAY CT STE 1050",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207745338",
"telephone_number": "301-494-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8658 S SACRAMENTO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523800",
"telephone_number": "301-494-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO CHILDREN'S SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-01",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-494-3000"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Chicago Children'S General Anesthesia Dentistry, PLLC
- Chicago Chiropractic & Sports Injury Center
- Chicago Chiropractic and Physical Medicine, SC
- Chicago Chiropractic Center, S.C.
- Chicago Circle Association
- Chicago City of
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.