Devonsurg Procedure Centers, LTD.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

DEVONSURG PROCEDURE CENTERS, LTD.

Practice address

650 E Devon Ave Ste 152a
Itasca, IL 60143-1265

Phone

(630) 250-4542

Fax

(630) 250-4543

NPI assigned

Jan 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John V Prunskis, M.D.

Title

Medical Director

Phone

(630) 250-4542

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1295039907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E DEVON AVE STE 152A",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431265",
            "telephone_number": "630-250-4542",
            "fax_number": "630-250-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E DEVON AVE STE 152A",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431265",
            "telephone_number": "630-250-4542",
            "fax_number": "630-250-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVONSURG PROCEDURE CENTERS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "PRUNSKIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-250-4542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Itasca, IL
• Providers in Itasca, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.