Center for Surgery & Breast Health, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CENTER FOR SURGERY & BREAST HEALTH, LLC

Practice address

300 Barney Dr Ste a
Joliet, IL 60435-5269

Phone

(815) 744-0330

Fax

(815) 744-0445

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Wendy J Marshall, MDNPI 1578538492

Title

President

Phone

(815) 744-0330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy J Marshall, MD, FACS

  • Surgery Physician
  • Joliet, IL
  • NPI 1578538492
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1164516217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BARNEY DR STE A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355269",
            "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 STE A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355269",
            "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": "2006-10-03",
        "last_updated": "2008-10-01",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER GRP #",
            "identifier": "9930030",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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.
• Michele Renee Chaleunphonh, OTRL

• Surgery Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Surgery Physician in Illinois

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