Organization Active NPI

Rush Oak Brook Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Oak Brook, IL
National Provider Identifier
1619469244
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RUSH OAK BROOK SURGERY CENTER, LLC
Practice address
2011 York Rd Ste 3000
Oak Brook, IL 60523-2156
Phone
(304) 722-4456
Fax
(630) 472-2446
NPI assigned
May 30, 2018
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Deborah Lee Crook
Title
Ceo
Phone
(630) 472-2445

Specialties & licenses 1

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

Addresses

Primary practice location

2011 York Rd Ste 3000
Oak Brook, IL 60523-2156

Mailing address

2011 York Rd Ste 3000
Oak Brook, IL 60523-2156
Phone (630) 472-2445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181112002563 IL Part B Supplier - Ambulatory Surgical Center 4385998277 Practice locations: Oak Brook, IL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Rush Oak Brook Surgery CenterCCN 14C0001177
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1619469244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 YORK RD STE 3000",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232156",
            "telephone_number": "630-472-2445",
            "fax_number": "630-472-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 YORK RD STE 3000",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232156",
            "telephone_number": "304-722-4456",
            "fax_number": "630-472-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH OAK BROOK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-472-2445"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.

Verify at the official NPI Registry.