Active NPI
Northwestern Surgical Associates
- Surgery Physician
- Chicago, IL
National Provider Identifier
1750442893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036058963
- Legal business name
- NORTHWESTERN SURGICAL ASSOCIATES
- Practice address
- 676 N Saint Clair St
Suite 1525
Chicago, IL 60611-2927 - Phone
- (312) 943-5427
- Fax
- (312) 266-0478
- NPI assigned
- Dec 13, 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
- Steven J Stryker, M.D.
- Title
- Owner
- Phone
- (312) 943-5427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036058963 | IL | Primary |
Addresses
Primary practice location
676 N Saint Clair St
Suite 1525
Chicago, IL 60611-2927
Mailing address
PO Box 421
Winnetka, IL 60093-0421
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31601505 | Other | IL | BLUE SHIELD |
| 1760448096 | Other | NPI | |
| 214741 | Other | IL | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Northwestern Surgical Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Chicago, IL
- NPI 1225076706
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Wheaton, IL
- NPI 1265695258
-
- Surgery Physician
- Chicago, IL
- NPI 1821085358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380585600000",
"number": "1750442893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600930421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "SUITE 1525",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-943-5427",
"fax_number": "312-266-0478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWESTERN SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2013-10-01",
"status": "A",
"authorized_official_last_name": "STRYKER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-943-5427",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "IL",
"license": "036058963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "31601505",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1760448096",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "214741",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Northwestern Perinatal Associates, S.C.
- Northwestern Radiology Oncology Assoc
- Northwestern Skin Cancer Institute, LTD
- Northwestern Specialists in Plastic Surgery, S.C.
- Northwestern Surgical Associates
- Northwestern University
- Northwestern University Settlement Association
- Northwestern University Settlement Association
- Northwestern University Settlement Association
- Northwestern University Settlement Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.