Active NPI
Childrens Surgical Specialists, LLC
- Pediatric Surgery Physician
- Elk Grove Village, IL
National Provider Identifier
1669546719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- Legal business name
- CHILDRENS SURGICAL SPECIALISTS, LLC
- Practice address
- 901 Biesterfield Rd
Suite 213
Elk Grove Village, IL 60007-3392 - Phone
- (847) 390-0330
- Fax
- (847) 439-8720
- NPI assigned
- Nov 20, 2006
- 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
- Grant H Geissler, MD
- Title
- President Owner
- Phone
- (847) 390-0330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | Primary |
Addresses
Primary practice location
901 Biesterfield Rd
Suite 213
Elk Grove Village, IL 60007-3392
Mailing address
777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1633575 | Other | IL | BCBS PROVIDER ID |
National Provider Directory
National Provider DirectoryLocations
2150 Pfingsten Rd
Glenview, IL 60026
Phone (847) 486-6550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Surgery Physician
- Tampa, FL
- NPI 1376725101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1669546719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 OAKMONT LN",
"address_2": "SUITE 1600",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595511",
"telephone_number": "630-789-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BIESTERFIELD RD",
"address_2": "SUITE 213",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073392",
"telephone_number": "847-390-0330",
"fax_number": "847-439-8720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS SURGICAL SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "GEISSLER",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "847-390-0330",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "1633575",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.