Oak Brook Surgical Centre Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7001548 Issued in IL

Legal business name

OAK BROOK SURGICAL CENTRE INC.

Practice address

2425 W 22ND St
Suite 101
Oak Brook, IL 60523-1245

Phone

(630) 990-2212

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kianoosh Jafari, M.D.

Title

Medical Director

Phone

(630) 990-2212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Oak Brook Surgical Centre IncCCN 14C0001017

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184680407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST",
            "address_2": "SUITE 101",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231245",
            "telephone_number": "630-990-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST",
            "address_2": "SUITE 101",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231245",
            "telephone_number": "630-990-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK BROOK SURGICAL CENTRE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAFARI",
        "authorized_official_first_name": "KIANOOSH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-990-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7001548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Brook Healthcare Centre, LTD.
• Oak Brook Home Health LLC
• Oak Brook Medical Associates, S.C.
• Oak Brook Medical Group LTD
• Oak Brook MSK LTD
• Oak Brook Urology LTD
• Oak Brook X-Ray and Imaging, Inc.
• Oak Lawn Pediatrics LTD.
• Oakbrook Endodontic Associates, LTD.
• Oakbrook Healthcare Group, Inc

• Ambulatory Surgical Clinic/Center in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.