Advanced Surgery & Wellness, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ADVANCED SURGERY & WELLNESS, PLLC

Practice address

163 S Randall Rd
Elgin, IL 60123-5551

Phone

(847) 406-1007

Fax

(847) 695-2377

NPI assigned

Feb 23, 2022

Organization subpart

No

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

Authorized official

Name

Adam Dunn

Title

Practice Manager

Phone

(847) 406-1007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Felipe Andres Pacheco Granda, MD

  • Surgery Physician
  • Elgin, IL
  • NPI 1013402874
  Medicare reassignment Care Compare group NPD
• Irene I Wu, MD

  • Surgery Physician
  • Elgin, IL
  • NPI 1447457692
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1497401970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235551",
            "telephone_number": "847-406-1007",
            "fax_number": "847-695-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235551",
            "telephone_number": "847-406-1007",
            "fax_number": "847-695-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGERY & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-406-1007"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Foot & Ankle Specialists SC
• Advanced Mobile Wound Care LLC
• Advanced Neurology & Sleep Clinic LLC
• Advanced Psychiatry of Elgin
• Advanced Sports Medicine SC
• Advanced Wellness Center and Research Foundation
• Advocate Home Healthcare Agency, LLC
• Advocate Infusion Services Inc
• Advocate Sherman Hospital
• Advocate Sherman Hospital

• Surgery Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.