Active NPI
Bensenville Surgical Suite
- Ambulatory Surgical Clinic/Center
- Bensenville, IL
National Provider Identifier
1124143789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BENSENVILLE SURGICAL SUITE
- Practice address
- 229 W Grand Ave
Suite R
Bensenville, IL 60106-3399 - Phone
- (630) 238-9235
- Fax
- (630) 238-8944
- NPI assigned
- Mar 20, 2007
- 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
- Dr. Miguel Arturo Burgos, M.D.
- Title
- President
- Phone
- (630) 238-9235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
229 W Grand Ave
Suite R
Bensenville, IL 60106-3399
Mailing address
229 W Grand Ave
Suite R
Bensenville, IL 60106-3399
Phone (630) 238-9235
National Provider Directory
National Provider DirectoryLocations
229 W Grand Ave
Ste R
Bensenville, IL 60106
Phone (630) 238-9235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124143789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 W GRAND AVE",
"address_2": "SUITE R",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601063399",
"telephone_number": "630-238-9235",
"fax_number": "630-238-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 W GRAND AVE",
"address_2": "SUITE R",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601063399",
"telephone_number": "630-238-9235",
"fax_number": "630-238-8944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENSENVILLE SURGICAL SUITE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BURGOS",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "ARTURO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-238-9235",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bensenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.