Active NPI
Roger Andres Quesada Jimenez, CSA
- Surgical Assistant
- Des Plaines, IL
National Provider Identifier
1316725005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 5409
- Practice address
- 999 E Touhy Ave Ste 450
Des Plaines, IL 60018-2748 - Phone
- (883) 872-4477
- NPI assigned
- Sep 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 5409 | IL | Primary |
Addresses
Primary practice location
999 E Touhy Ave Ste 450
Des Plaines, IL 60018-2748
Mailing address
999 E Touhy Ave Ste 450
Des Plaines, IL 60018-2748
Phone (883) 872-4477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5409 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1316725005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 E TOUHY AVE STE 450",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600182748",
"telephone_number": "883-872-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 E TOUHY AVE STE 450",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600182748",
"telephone_number": "883-872-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUESADA JIMENEZ",
"first_name": "ROGER",
"middle_name": "ANDRES",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "5409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.