Active NPI
Surgical Specialty Center, LTD.
- Clinic/Center
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SURGICAL SPECIALTY CENTER, LTD.
- Practice address
- 6043 W Belmont Ave
Chicago, IL 60634-5116 - Phone
- (773) 745-5400
- Fax
- (773) 745-1998
- NPI assigned
- Nov 9, 2006
- Last updated
- Feb 18, 2010
- 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
- Dr. Jeffrey J. Betman, D.P.M.
- Title
- Medical Director
- Phone
- (773) 745-1919
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
6043 W Belmont Ave
Chicago, IL 60634-5116
Mailing address
6043 W Belmont Ave
Chicago, IL 60634-5116
Phone (773) 745-5400
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0962056 | Surgical Specialty Center LTD | Certificate of waiver | Jun 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
6043 W Belmont Ave
Chicago, IL 60634
Phone (773) 745-5400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Chicago, IL
- NPI 1891793907
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- NPI 1013036359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266451200000",
"number": "1417028879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6043 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606345116",
"telephone_number": "773-745-5400",
"fax_number": "773-745-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6043 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606345116",
"telephone_number": "773-745-5400",
"fax_number": "773-745-1998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SPECIALTY CENTER, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2010-02-18",
"status": "A",
"authorized_official_last_name": "BETMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "773-745-1919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"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 Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.