Organization Active NPI

Laparoscopy International LLC

  • Specialist
  • Chicago, IL
National Provider Identifier
1093850331
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LAPAROSCOPY INTERNATIONAL LLC
Practice address
3714 W 26TH St
Chicago, IL 60623-3824
Phone
(630) 810-0212
Fax
(630) 810-1027
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Mrs. Kristina L Butler
Title
Billing Manager
Phone
(630) 810-1219

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 036050637 IL
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 036050637 IL

Addresses

Primary practice location

3714 W 26TH St
Chicago, IL 60623-3824

Mailing address

4333 Main St
Downers Grove, IL 60515-2869
Phone (630) 810-0212

Other identifiers 1

IdentifierTypeStateIssuer
2232804OtherILBC/BS PIN NUMBER

National Provider Directory

National Provider Directory

Locations

4646 N Marine Dr
#C6100
Chicago, IL 60640
Phone (773) 564-6025

3714 W 26th St
Chicago, IL 60623
Phone (630) 810-0212

4646 N Marine Dr
Ste C6100
Chicago, IL 60640
Phone (773) 564-6025

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1093850331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152869",
            "telephone_number": "630-810-0212",
            "fax_number": "630-810-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233824",
            "telephone_number": "630-810-0212",
            "fax_number": "630-810-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPAROSCOPY INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-810-1219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036050637",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036050637",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN NUMBER",
            "identifier": "2232804",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.