Elmwood Park Surgery Center Acquisition & Development LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ELMWOOD PARK SURGERY CENTER ACQUISITION & DEVELOPMENT LLC

Practice address

1614 N Harlem Ave
Elmwood Park, IL 60707-4302

Phone

(847) 869-9700

Fax

(847) 869-7979

NPI assigned

Aug 22, 2013

Organization subpart

No

Name

Ms. Teresa Larkins, NURSE

Title

Or Coordinator

Phone

(847) 869-9700

• Elmwood Park Same Day Surgery Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2013.

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1194159467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074302",
            "telephone_number": "847-869-9700",
            "fax_number": "847-869-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074302",
            "telephone_number": "847-869-9700",
            "fax_number": "847-869-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD PARK SURGERY CENTER ACQUISITION & DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "LARKINS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OR COORDINATOR",
        "authorized_official_telephone_number": "847-869-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmwood Park Same Day Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Elmwood Park, IL
• 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, 2013; 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.