Elgin Surgicare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01077720A Issued in IN

Legal business name

ELGIN SURGICARE LLC

Practice address

521 W Chicago Ave
East Chicago, IN 46312-3206

Phone

(630) 345-0834

NPI assigned

May 31, 2017

Last updated

Mar 17, 2018By 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

Tania Khamoo

Title

Administrator

Phone

(773) 309-6740

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1124556444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255009",
            "telephone_number": "773-509-9099",
            "fax_number": "773-509-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123206",
            "telephone_number": "630-345-0834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 Indianapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Whiting",
            "state": "IN",
            "postal_code": "463941956",
            "country_code": "US",
            "telephone_number": "630-345-0834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELGIN SURGICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KHAMOO",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-309-6740"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "1952663593",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01077720A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Chicago Community Health Center, Inc.
• East Chicago Health Department
• Secili Echols
• Ashiya Edmond
• Safaa El Naggar, M.D.
• Hilda Emelogu
• Emergency Medical Services, PC
• Emergency Physician Associates of Indiana PC
• Angelia Marie Erb, LCSW
• Dana Claire Erickson, MSW

• Internal Medicine Physician in East Chicago, IN
• Providers in East Chicago, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.