Ambulatory Surgical Care Facility, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMBULATORY SURGICAL CARE FACILITY, LLC

Practice address

1281 N Farnsworth Ave
Aurora, IL 60505-2445

Phone

(773) 283-3131

NPI assigned

Oct 29, 2010

Last updated

Oct 29, 2010By 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

Dr. Derrick D Wallery, D.C.NPI 1437311701

Title

Ceo / President

Phone

(773) 283-3131

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Derrick D Wallery, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1437311701
  Authorized official Same address or phone
• Fernando Perez, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1639395296
  NPD (past)

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1497055032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4176 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412161",
            "telephone_number": "773-283-3131",
            "fax_number": "773-283-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 N FARNSWORTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605052445",
            "telephone_number": "773-283-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGICAL CARE FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "WALLERY",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "773-283-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Alvarez
• Mireya Cristal Alvarez
• Mamata M Alwarshetty, MD
• Syed Amad Amanullah, MD
• Mahmoud Amarna, MD
• Benjamin Amelse
• America's Best Contacts & Eyeglasses
• American Current Care of Illinois PC (Concentra Immediate Care)
• American Current Care of Illinois PC (Concentra Urgent Care)
• American Drug Stores LLC (Osco Drug #4252)

• Ambulatory Surgical Clinic/Center in Aurora, IL
• Providers in Aurora, 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 29, 2010; 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.