South Chicago Surgical Solutions

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

422700 Issued in IL

Legal business name

SOUTH CHICAGO SURGICAL SOLUTIONS

Practice address

16450 104TH Ave
Suite 100
Orland Park, IL 60467-5441

Phone

(708) 364-8441

Fax

(708) 364-8443

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brent James Rhode, M.S.

Title

Practice Manager

Phone

(708) 337-7704

Specialties & licenses 1

Addresses

Other names 1

• Orland Surgical Solutions Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1689734071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16450 S 104TH AVENUE",
            "address_2": "SUITE 100",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-364-8441",
            "fax_number": "708-364-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16450 104TH AVE",
            "address_2": "SUITE 100",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675441",
            "telephone_number": "708-364-8441",
            "fax_number": "708-364-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CHICAGO SURGICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "RHODE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "708-337-7704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "422700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orland Surgical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Brendan Sonneveld, D.D.S.
• Thomas Craig Sonneveld, D.D.S.
• Heather Sorfleet
• William J Soulian, PTA
• South Campus Partners, Inc.
• South Suburban Chiropractic Clinic PC
• Southwest Dental Group
• Southwest Dermatology, PC
• Southwest Endodontics
• Southwest Foot and Ankle, LLC

• Ambulatory Surgical Clinic/Center in Orland Park, IL
• Providers in Orland Park, 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, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.