Organization Active NPI

Associated General Surgeons, S.C.

  • Surgery Physician
  • Winfield, IL
National Provider Identifier
1174501266
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ASSOCIATED GENERAL SURGEONS, S.C.
Practice address
25 N Winfield Rd
Ste 410
Winfield, IL 60190-1237
Phone
(630) 665-2101
Fax
(630) 665-3820
NPI assigned
Jan 9, 2006
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Kathy Ann Carney
Title
Practice Manager
Phone
(630) 665-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

25 N Winfield Rd
Ste 410
Winfield, IL 60190-1237

Mailing address

25 N Winfield Rd
Ste 410
Winfield, IL 60190-1237
Phone (630) 665-2101

Other identifiers 1

IdentifierTypeStateIssuer
408100OtherILMEDICARE PROVIDER

National Provider Directory

National Provider Directory

Locations

300 Randall Rd
Ste 308
Geneva, IL 60134

25 N Winfield Rd
#410
Winfield, IL 60190
Phone (630) 293-4326

25 N Winfield Rd
#520
Winfield, IL 60190

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1174501266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "address_2": "STE 410",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901237",
            "telephone_number": "630-665-2101",
            "fax_number": "630-665-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "address_2": "STE 410",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901237",
            "telephone_number": "630-665-2101",
            "fax_number": "630-665-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED GENERAL SURGEONS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "630-665-2101"
    },
    "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": "MEDICARE PROVIDER",
            "identifier": "408100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.