Organization Active NPI

Stellar Surgical Suite LLC

  • Pain Clinic/Center
  • Chicago, IL
National Provider Identifier
1366288755
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
STELLAR SURGICAL SUITE LLC
Practice address
830 N Ashland Ave Apt 1N
Chicago, IL 60622-5684
Phone
(773) 280-7001
NPI assigned
Jul 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Sameer Shah
Title
Partner
Phone
(773) 280-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

830 N Ashland Ave Apt 1N
Chicago, IL 60622-5684

Mailing address

830 N Ashland Ave Apt 1N
Chicago, IL 60622-5684

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1366288755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N ASHLAND AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N ASHLAND AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225684",
            "telephone_number": "773-280-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR SURGICAL SUITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-280-7001"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.