Organization Active NPI

Clinicians Surgical Care of America LLC

Doing business as Clinicians Surgery Care

  • Ambulatory Surgical Clinic/Center
  • Gurnee, IL
National Provider Identifier
1497993596
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CLINICIANS SURGICAL CARE OF AMERICA LLC
Doing business as
Clinicians Surgery Care
Practice address
6475 Washington St Ste 103
Gurnee, IL 60031-4404
Phone
(847) 855-2396
Fax
(847) 855-2458
NPI assigned
Jan 27, 2009
Last updated
Jan 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
James A Gross
Title
President
Phone
(847) 855-2396

Specialties & licenses 1

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

Addresses

Primary practice location

6475 Washington St Ste 103
Gurnee, IL 60031-4404

Mailing address

6475 Washington St Ste 103
Gurnee, IL 60031-4404
Phone (847) 855-2396

Other names 1

  • CLINICIANS SURGERY CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1497993596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 WASHINGTON ST STE 103",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314404",
            "telephone_number": "847-855-2396",
            "fax_number": "847-855-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 WASHINGTON ST STE 103",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314404",
            "telephone_number": "847-855-2396",
            "fax_number": "847-855-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICIANS SURGICAL CARE OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-855-2396"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICIANS SURGERY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.