Greater Chicago Center for Advanced Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GREATER CHICAGO CENTER FOR ADVANCED SURGERY LLC

Practice address

999 E Touhy Ave Ste 350
Des Plaines, IL 60018-2736

Phone

(224) 725-5850

NPI assigned

Jul 20, 2021

Last updated

Jul 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terri K Kraft

Title

Ceo

Phone

(224) 725-5850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437722261. Details of each certification follow.

• CCN 14C0001193 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 14C0001193

Legal name

Greater Chicago Center for Advanced Surgery, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 16, 2023

Last certification

May 19, 2023

Ownership / control type

Proprietary

Facility address

999 East Touhy Avenue
Des Plaines, IL 60018

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1437722261",
    "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": "224-725-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E TOUHY AVE STE 350",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182736",
            "telephone_number": "224-725-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CHICAGO CENTER FOR ADVANCED SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-725-5850"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.