Osipova Surgical Service Corporation

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

OSIPOVA SURGICAL SERVICE CORPORATION

Practice address

331 W Surf St Ste 714
Chicago, IL 60657-7227

Phone

(773) 561-7911

NPI assigned

Jul 23, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Osipova, MDNPI 1447416722

Title

Owner

Phone

(773) 561-7911

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Osipova, MD

  • Surgery Physician
  • Chicago, IL
  • NPI 1447416722
  Medicare reassignment NPD Authorized official
• Marc Allan Adajar, M.D.

  • Surgery Physician
  • Chicago, IL
  • NPI 1508947383
  Medicare reassignment NPD
• Gerrit Max Dunford

  • Surgery Physician
  • McHenry, IL
  • NPI 1326493271
  Medicare reassignment NPD

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1154974590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE STE 4C",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813966",
            "telephone_number": "630-424-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W SURF ST STE 714",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577227",
            "telephone_number": "773-561-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSIPOVA SURGICAL SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "OSIPOVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-561-7911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chidinma I Osineme, MD
• Oluseun Osinowo
• Michael Czech Osinski, PHARM.D.
• Andrea Osio Cruz
• Gina Marie Osiol
• Maria Osipova, MD
• Florence O Osisanya
• Ayotunde Ositelu
• Kamari Ositelu, MD
• Yana Michelle Oskin, MD

• Surgical Oncology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgical Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.