Organization Active NPI

Surgical Associates of Oak Park and River Forest SC

  • Surgery Physician
  • Oak Park, IL
National Provider Identifier
1396824249
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL ASSOCIATES OF OAK PARK AND RIVER FOREST SC
Practice address
1 Erie CT
Suite 7160
Oak Park, IL 60302-2566
Phone
(708) 386-4487
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Gerald E Lynch, MD
Title
Physician
Phone
(708) 386-4487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1 Erie CT
Suite 7160
Oak Park, IL 60302-2566

Mailing address

1 Erie CT
Suite 7160
Oak Park, IL 60302-2566
Phone (708) 386-4487

Other names 1

  • nagulapalli s rao md sc Former legal business name

National Provider Directory

National Provider Directory

Locations

1 Erie Ct
Ste 7160
Oak Park, IL 60302
Phone (708) 383-4300

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1396824249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ERIE CT",
            "address_2": "SUITE 7160",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022566",
            "telephone_number": "708-386-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ERIE CT",
            "address_2": "SUITE 7160",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022566",
            "telephone_number": "708-386-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF OAK PARK AND RIVER FOREST SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-386-4487",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "nagulapalli s rao md sc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.