Winchester Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WINCHESTER AMBULATORY SURGERY CENTER LLC

Practice address

1870 W Winchester Rd Ste 146
Libertyville, IL 60048-5359

Phone

(847) 247-0187

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Sean Lee, MD

Title

Medical Director

Phone

(847) 247-0187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1477334266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD STE 146",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485359",
            "telephone_number": "847-247-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD STE 146",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485359",
            "telephone_number": "847-247-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-247-0187",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlee Williams, LSW
• Matthew Williams, LCSW
• Willow Oak Pediatrics
• Kristin Wilson, SLP
• Winchester Aesthetic Surgical Suite, SC
• Winchester Endoscopy Center
• Winchester Endoscopy, LLC
• Winchester Medical Group, S.C.
• Windy City Medical Specialists, LLC
• Peggy Wingo, PH.D.,LLC

• Ambulatory Surgical Clinic/Center in Libertyville, IL
• Providers in Libertyville, 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 Oct 9, 2023; 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.