Phoenix Surgical Services

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

PHOENIX SURGICAL SERVICES

Practice address

13223 Baywood LN
Homer Glen, IL 60491-5991

Phone

(708) 263-5092

Fax

(708) 301-6148

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Arnold Romero Solis, BSN,RN,CNOR,RNFANPI 1558503078

Title

Rnfa

Phone

(708) 263-5092

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arnold Romero Solis, RN, CNOR

  • Registered Nurse First Assistant
  • Homer Glen, IL
  • NPI 1558503078
  NPD Authorized official

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633737600000",
    "number": "1457023269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2494",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621091",
            "telephone_number": "708-263-5092",
            "fax_number": "708-301-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13223 BAYWOOD LN",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604915991",
            "telephone_number": "708-263-5092",
            "fax_number": "708-301-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "ROMERO",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "708-263-5092",
        "authorized_official_credential": "BSN,RN,CNOR,RNFA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark J Peloquin, D.D.S.
• W Michael Petty, ATC, LAT
• Physical Therapy & Spine Institute LP
• Emily Pieper, PTA
• Judith Polkow, P.T.
• Poremba LTD Dba Rehab Connections PC
• Sheryl Lee Poremba, PT

• Registered Nurse First Assistant in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Registered Nurse First Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.