NW Surgical Center, SC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

042619629 Issued in IL

Legal business name

NW SURGICAL CENTER, SC

Practice address

1260 W Higgins Rd
Hoffman Estates, IL 60169

Phone

(847) 839-1111

Fax

(847) 839-1123

NPI assigned

Jun 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Mahmoud M Tayeb

Title

Office Consultant

Phone

(847) 387-9365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1235440835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 W HIGGINS RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-839-1111",
            "fax_number": "847-839-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 W HIGGINS RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-839-1111",
            "fax_number": "847-839-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW SURGICAL CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "TAYEB",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE CONSULTANT",
        "authorized_official_telephone_number": "847-387-9365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "042619629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon K Nourbash, M.D.
• Jeff A. Novak, D.D.S.
• Linda Novak, APN, CS.
• Karolina M Nowak, PTA
• NW GYN Obstetrics Center S C
• Stacey E O'Connell, MA
• Laura M O'Connor, LCSW
• Kelly O'Malley, AU.D.
• Shaunette O'Neil
• Charlotte Michelle O'Sullivan, MD

• Ambulatory Surgical Clinic/Center in Hoffman Estates, IL
• Providers in Hoffman Estates, 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 Jun 29, 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.