Peterson Surgicenter Anesthesia Services SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PETERSON SURGICENTER ANESTHESIA SERVICES SC

Practice address

2300 W Peterson Ave
Chicago, IL 60659-5203

Phone

(773) 508-9000

Fax

(773) 508-1796

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Roger I Gomez

Title

Coo

Phone

(773) 508-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609905637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 W PETERSON AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595242",
            "telephone_number": "773-508-9800",
            "fax_number": "773-508-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595203",
            "telephone_number": "773-508-9000",
            "fax_number": "773-508-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON SURGICENTER ANESTHESIA SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "773-508-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peterson Medical Surgicenter
• Peterson Occupational Health Services, SC
• Peterson Park Associates, LLC
• Peterson Pharmacy Inc
• Peterson Surgery Center LLC
• Allan T. Peterson, PSY. D, MDIV
• Allyson Elayne Peterson, MD
• Amber Peterson
• Andrea M.H. Peterson, LCSW
• Bradley G Peterson, DPT

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.