Organization Active NPI

Comprehensive Surgical Services LLC

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1508056078
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01049977A Issued in IN
Legal business name
COMPREHENSIVE SURGICAL SERVICES LLC
Practice address
2315 E 93Rd St
Suite 340
Chicago, IL 60617-3936
Phone
(219) 688-4356
Fax
(219) 365-2677
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Vishnu N Mathur, MD
Title
President
Phone
(219) 937-2187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 01049977A IN Primary

Addresses

Primary practice location

2315 E 93Rd St
Suite 340
Chicago, IL 60617-3936

Mailing address

5500 S Hohman Ave
Suite 1E
Hammond, IN 46320-1965
Phone (219) 937-2187

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1508056078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 S HOHMAN AVE",
            "address_2": "SUITE 1E",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201965",
            "telephone_number": "219-937-2187",
            "fax_number": "219-365-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "SUITE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "219-688-4356",
            "fax_number": "219-365-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "VISHNU",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-937-2187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01049977A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.