Stone Medical Surgery Care Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

STONE MEDICAL SURGERY CARE CENTER LLC

Practice address

7505 Grand Ave
Gurnee, IL 60031-1551

Phone

(847) 856-7600

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Malcolm D Herzog, DPM

Title

Co-Owner

Phone

(847) 856-7600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487774238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388387",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311551",
            "telephone_number": "847-856-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE MEDICAL SURGERY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-856-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Stewart, DDS
• Susan Stewart
• Thomas Kevin Stewart, DDS
• Kerry Stokes, QMHP
• Stone Medical Center LLC
• Stonebridge of Gurnee, LLC
• Stonebrook Optical LLC
• Straight Up Spine and Posture, PC
• Timothy Lars Straka, DDS
• Susan Lynn Streiff, D.C.

• Ambulatory Surgical Clinic/Center in Gurnee, IL
• Providers in Gurnee, 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 Aug 22, 2020; 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.