Organization Active NPI

Dimensions Medical Center, LTD.

  • Ambulatory Surgical Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1508901620
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7001357 Issued in IL
Legal business name
DIMENSIONS MEDICAL CENTER, LTD.
Practice address
1455 E Golf Rd
Suite 108
Des Plaines, IL 60016-1250
Phone
(847) 390-9300
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tammy Stern
Title
Assistant Administrator
Phone
(847) 255-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7001357 IL Primary

Addresses

Primary practice location

1455 E Golf Rd
Suite 108
Des Plaines, IL 60016-1250

Mailing address

PO Box 2237
Des Plaines, IL 60017-2237
Phone (847) 255-7400

Other identifiers 1

IdentifierTypeStateIssuer
622OtherILBC BS NUMBER

National Provider Directory

National Provider Directory

Locations

1455 E Golf Rd
Ste 108
Des Plaines, IL 60016
Phone (847) 390-9300

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508901620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2237",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600172237",
            "telephone_number": "847-255-7400",
            "fax_number": "847-398-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E GOLF RD",
            "address_2": "SUITE 108",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161250",
            "telephone_number": "847-390-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMENSIONS MEDICAL CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "847-255-7400"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7001357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS NUMBER",
            "identifier": "622",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • 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.