Active NPI
Surgical Specialty Center, LTD.
- Clinic/Center
- Chicago, IL
National Provider Identifier
1417028879
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
- 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
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 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Boca Raton, FL
- 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.