NPIMap

Organization Active NPI

Apollo Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Arlington Heights, IL
National Provider Identifier
1477961324
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7003166 Issued in IL
Legal business name
APOLLO SURGICAL CENTER, LLC
Practice address
1640 N Arlington Heights Rd
Suite 110
Arlington Heights, IL 60004-3985
Phone
(847) 255-7400
NPI assigned
Jul 23, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Ms. Jessica Bridgewater
Title
Project Manager
Phone
(847) 255-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7003166 IL Primary

Addresses

Primary practice location

1640 N Arlington Heights Rd
Suite 110
Arlington Heights, IL 60004-3985

Mailing address

2750 S River Rd
Des Plaines, IL 60018-4103
Phone (847) 255-7400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1477961324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184103",
            "telephone_number": "847-255-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 110",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043985",
            "telephone_number": "847-255-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "847-255-7400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7003166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.