Eye Surgery Center of Hinsdale LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7002942 Issued in IL

Legal business name

EYE SURGERY CENTER OF HINSDALE LLC

Practice address

950 N York Rd Ste 203
Hinsdale, IL 60521-8609

Phone

(630) 789-6900

Fax

(630) 789-3909

NPI assigned

Dec 14, 2005

Last updated

Feb 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George L Neal

Title

Chief Executive Officer

Phone

(469) 214-0144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher David Baran, CRNA

  • Certified Registered Nurse Anesthetist
  • Lockport, IL
  • NPI 1013219427
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1114902871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR DEPT 6745",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756745",
            "telephone_number": "630-789-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N YORK RD STE 203",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218609",
            "telephone_number": "630-789-6900",
            "fax_number": "630-789-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF HINSDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "469-214-0144"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079800",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Alexander Estes, MD
• Mahveen Ethezaz, M.D.
• Ian E Evans, LCPC
• Everkind Senior Services LLC
• Eye Physicians of Illinois, SC (Herbert C Becker Jr, MD, SC)
• Francis R Facchini, MD
• Marc Ruffino Fajardo, MD
• Jodi A Faley, LCSW
• Family Dental Hinsdale (Kapur Dental Hinsdale)
• Family Health Care, S.C.

• Ambulatory Surgical Clinic/Center in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.