Active NPI
Midway Surgical Services, LLC
- Ambulatory Surgical Clinic/Center
- Chicago, IL
National Provider Identifier
1306357801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MIDWAY SURGICAL SERVICES, LLC
- Practice address
- 4740 N Cumberland Ave
Chicago, IL 60656-4239 - Phone
- (520) 323-8732
- NPI assigned
- Oct 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Autumn Romo
- Title
- Lead Patient Advocate
- Phone
- (520) 258-0307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4740 N Cumberland Ave
Chicago, IL 60656-4239
Mailing address
6339 E Speedway Blvd
Tucson, AZ 85710-1147
Phone (520) 323-8732
National Provider Directory
National Provider DirectoryLocations
4740 N Cumberland Ave
Chicago, IL 60656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508803200000",
"number": "1306357801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6339 E SPEEDWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857101147",
"telephone_number": "520-323-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 N CUMBERLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606564239",
"telephone_number": "520-323-8732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWAY SURGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-24",
"last_updated": "2017-10-24",
"status": "A",
"authorized_official_last_name": "ROMO",
"authorized_official_first_name": "AUTUMN",
"authorized_official_title_or_position": "LEAD PATIENT ADVOCATE",
"authorized_official_telephone_number": "520-258-0307"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Midway Medical Center
- Midway Medical Center
- Midway Pediatrics LLC
- Midway Pediatrics LLC
- Midway Spine and Joint Pain Physicians
- Midway Turning Point Community Center
- Midway Turning Point Community Center
- Midway Turning Point Community Center
- Midway Turning Point Community Center
- Midway Turning Point Community Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.