Naperville Surgical Centre LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

7003205 Issued in IL

Legal business name

NAPERVILLE SURGICAL CENTRE LLC

Practice address

1263 Rickert Dr
Naperville, IL 60540-0954

Phone

(630) 305-3300

Fax

(630) 305-3301

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ronald P Ladniak

Title

Administrator

Phone

(630) 869-6395

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anesthesia Services Doing business as

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1114078060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 RICKERT DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400954",
            "telephone_number": "630-305-3300",
            "fax_number": "630-305-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 RICKERT DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400954",
            "telephone_number": "630-305-3300",
            "fax_number": "630-305-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE SURGICAL CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "LADNIAK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-869-6395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "7003205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB5335",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anesthesiology Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.