Active NPI
Algonquin Road Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Lake in the Hills, IL
National Provider Identifier
1558344846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ALGONQUIN ROAD SURGERY CENTER, LLC
- Practice address
- 2550 W Algonquin Rd
Lake in the Hills, IL 60156-3503 - Phone
- (847) 458-1246
- Fax
- (847) 458-1509
- NPI assigned
- Nov 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith Kazy-Garey, MA
- Title
- Executive Director
- Phone
- (847) 960-1044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | IL | Primary |
Addresses
Primary practice location
2550 W Algonquin Rd
Lake in the Hills, IL 60156-3503
Mailing address
2550 W Algonquin Rd
Lake in the Hills, IL 60156-3503
Phone (847) 458-1246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50195 | Other | IL | BLUE CROSS BLUE SHEILD IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090216000201 | IL | Part B Supplier - Ambulatory Surgical Center | 2961567573 | Practice locations: Lake in the Hills, IL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Algonquin Road Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1001080 | Algonquin Road Surgery Center | Certificate of waiver | Jun 27, 2028 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Northwestern Medicine McHenry Hospital
- Rehabilitation Hospital Unit
- Woodstock, IL
- NPI 1497764526
Member Of
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- South Elgin, IL
- NPI 1245246065
-
- Ophthalmology Physician
- Elgin, IL
- NPI 1962679498
-
- Ophthalmology Physician
- Charleston, SC
- NPI 1003278862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1558344846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W ALGONQUIN RD",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601563503",
"telephone_number": "847-458-1246",
"fax_number": "847-458-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 W ALGONQUIN RD",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601563503",
"telephone_number": "847-458-1246",
"fax_number": "847-458-1509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALGONQUIN ROAD SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A",
"authorized_official_last_name": "KAZY-GAREY",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "847-960-1044",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD IL",
"identifier": "50195",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake in the Hills, IL
- Katherine Elyse Albavera, LCSW
- Alexander Leigh Center for Autism
- Randy Eugene Alexander
- Algonquin Fire Protection District (Algonquin Lake In The Hills Fire Protection District)
- Algonquin Physical Medicine
- Almost Family Home Care Plus, LLC.
- Susan Michelle Anderson, PT
- Faustina Nkolika Anikamadu, FNP-BC
- Applied Behavior Analysts of Chicago, Inc. (Harmony Autism Therapy)
- Laura Argentine, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.