Organization Active NPI

Center for Surgery & Breast Health, LLC

  • Surgery Physician
  • Joliet, IL
National Provider Identifier
1124284849
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Aug 1, 2008

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.