Custom Surgical Care LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CUSTOM SURGICAL CARE LLC

Practice address

2350 Ravine Way Ste 400
Glenview, IL 60025-7621

Phone

(847) 232-4843

Fax

(847) 779-6877

NPI assigned

Apr 15, 2024

Last updated

Apr 15, 2024By 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

Maria Osipova, MDNPI 1447416722

Title

President

Phone

(773) 551-5776

Specialties & licenses 1

Addresses

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.

• Maria Osipova, MD

  • Surgery Physician
  • Chicago, IL
  • NPI 1447416722
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1639923824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE STE 4C",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813966",
            "telephone_number": "847-232-4843",
            "fax_number": "847-779-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 RAVINE WAY STE 400",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257621",
            "telephone_number": "847-232-4843",
            "fax_number": "847-779-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM SURGICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "OSIPOVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-551-5776",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann E Curran, PTA
• Jessica Curran, DPT
• Patricia L Curry
• Michael J Curtin, M.D.
• Karen Cusack, PT
• Samuel Calaunan Cuya
• Cybtronics, Inc.
• Dorota Czaicka, O.D.
• Kathleen Czerwionka
• Imad Dababneh

• Ambulatory Surgical Clinic/Center in Glenview, IL
• Providers in Glenview, 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 Apr 15, 2024; 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.