Elmhurst Medical & Surgical Center Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7003154 Issued in IL

Legal business name

ELMHURST MEDICAL & SURGICAL CENTER CORPORATION

Practice address

340 W Butterfield Rd Ste 1B
Elmhurst, IL 60126-5047

Phone

(630) 495-1240

Fax

(630) 495-1993

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Jen Grimes

Title

Administrator

Phone

(630) 495-1240

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Esther H Lyon, DPM

  • Podiatrist
  • Elgin, IL
  • NPI 1508844275
  NPD (past)

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1700188000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E SAINT CHARLES RD STE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482302",
            "telephone_number": "630-495-1240",
            "fax_number": "630-495-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W BUTTERFIELD RD STE 1B",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265047",
            "telephone_number": "630-495-1240",
            "fax_number": "630-495-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST MEDICAL & SURGICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-495-1240"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7003154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "14C0001151",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elmhurst Extended Care Center
• Elmhurst Eye Care
• Elmhurst Eye Surgery Center
• Elmhurst Family Dental
• Elmhurst Foot & Ankle Center Inc
• Elmhurst Medical Associates, S.C.
• Elmhurst Medical Physicians, SC
• Elmhurst Medsurge LTD
• Elmhurst Memorial Affiliated Primary Care Physicians, LLC
• Elmhurst Memorial Affiliated Primary Care Physicians, LLC

• Ambulatory Surgical Clinic/Center in Elmhurst, IL
• Providers in Elmhurst, 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 Feb 28, 2013; 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.