Organization Active NPI

West Suburban Surgical, S.C.

  • Trauma Surgery Physician
  • Aurora, IL
National Provider Identifier
1548579576
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
WEST SUBURBAN SURGICAL, S.C.
Practice address
1315 N Highland Ave
Suite 203
Aurora, IL 60506-1400
Phone
(630) 897-1282
Fax
(630) 906-9860
NPI assigned
Sep 24, 2010
Last updated
Sep 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Dr. Erik Borncamp, M.D.
Title
Doctor
Phone
(630) 897-1282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X NU Primary

Addresses

Primary practice location

1315 N Highland Ave
Suite 203
Aurora, IL 60506-1400

Mailing address

1315 N Highland Ave
Suite 203
Aurora, IL 60506-1400
Phone (630) 897-1282

National Provider Directory

National Provider Directory

Locations

1315 N Highland Ave
Ste 203
Aurora, IL 60506
Phone (630) 897-1282

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1548579576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE",
            "address_2": "SUITE 203",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061400",
            "telephone_number": "630-897-1282",
            "fax_number": "630-906-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE",
            "address_2": "SUITE 203",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061400",
            "telephone_number": "630-897-1282",
            "fax_number": "630-906-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN SURGICAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "BORNCAMP",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-897-1282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.