Active NPI
Center for Surgery & Breast Health, LLC
- Surgery Physician
- Joliet, IL
National Provider Identifier
1124284849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CENTER FOR SURGERY & BREAST HEALTH, LLC
- Practice address
- 300 Barney Dr
Suite a
Joliet, IL 60435-5296 - Phone
- (815) 744-0330
- Fax
- (815) 744-0445
- NPI assigned
- Aug 1, 2008
- 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
- Wendy J Marshall, MD
- Title
- President
- Phone
- (815) 744-0330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
300 Barney Dr
Suite a
Joliet, IL 60435-5296
Mailing address
300 Barney Dr
Suite a
Joliet, IL 60435-5296
Phone (815) 744-0330
National Provider Directory
National Provider DirectoryLocations
300 Barney Dr
Ste A
Joliet, IL 60435
Phone (815) 744-0330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217548800000",
"number": "1124284849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BARNEY DR",
"address_2": "SUITE A",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355296",
"telephone_number": "815-744-0330",
"fax_number": "815-744-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BARNEY DR",
"address_2": "SUITE A",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355296",
"telephone_number": "815-744-0330",
"fax_number": "815-744-0445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR SURGERY & BREAST HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-01",
"last_updated": "2008-08-01",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-744-0330",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
- Mary Rose Cavitt, DDS
- CCB Dental Associates PC
- Center for Disability Services
- Center for Family Services
- Center for Neuropsychiatric Development
- Center for Surgery & Breast Health, LLC
- Centered Care Hospice and Palliative LLC
- Central Professional Group
- Cepamerica Illinois LLP
- Gerard Dennis Cerniak, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.