Belmont/Harlem Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BELMONT/HARLEM SURGERY CENTER, LLC

Practice address

3101 N Harlem Ave
Chicago, IL 60634-4532

Phone

(773) 889-2000

NPI assigned

Feb 8, 2008

Last updated

Dec 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faith McHale

Title

Executive Director

Phone

(773) 889-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Belmont Harlem Surgery Center LLCCCN 14C0001013

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Resurrection Services

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1396032462

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Ilysa R Diamond, DO

  • Gastroenterology Physician
  • Oak Park, IL
  • NPI 1356596332
  NPD (past)

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1629256961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344532",
            "telephone_number": "773-889-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344532",
            "telephone_number": "773-889-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT/HARLEM SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "MCHALE",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-889-2000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belmont Medical & Dental Management P.C.
• Belmont Medical Inc.
• Belmont Nursing Home, Inc.
• Belmont Pharmacy
• Belmont Pharmacy LLC (Chicago Pharmacy)
• Alexis Belmonte, PA-C
• Amelia A Belmonte, RDN
• Ana Belmonte, PSY.D.
• Raymond S Belmonte, M.D.
• Regina L Belmonte, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.