Organization Active NPI

Childrens Surgical Specialists, LLC

  • Pediatric Surgery Physician
  • Elk Grove Village, IL
National Provider Identifier
1669546719
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
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

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Grant H Geissler, MDNPI 1376725101
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)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1633575OtherILBCBS PROVIDER ID

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.