Organization Active NPI

Bensenville Surgical Suite

  • Ambulatory Surgical Clinic/Center
  • Bensenville, IL
National Provider Identifier
1124143789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.