Organization Active NPI

Elmwood Park Surgery Center Acquisition & Development LLC

Doing business as Elmwood Park Same Day Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Elmwood Park, IL
National Provider Identifier
1194159467
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ELMWOOD PARK SURGERY CENTER ACQUISITION & DEVELOPMENT LLC
Doing business as
Elmwood Park Same Day Surgery Center
Practice address
1614 N Harlem Ave
Elmwood Park, IL 60707-4302
Phone
(847) 869-9700
Fax
(847) 869-7979
NPI assigned
Aug 22, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Ms. Teresa Larkins, NURSE
Title
Or Coordinator
Phone
(847) 869-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1614 N Harlem Ave
Elmwood Park, IL 60707-4302

Mailing address

1614 N Harlem Ave
Elmwood Park, IL 60707-4302
Phone (847) 869-9700

Other names 1

  • Elmwood Park Same Day Surgery Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "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"
        }
    ]
}

Other providers in Elmwood Park, IL

Sources for this page

  • 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.