NPIMap

Organization Active NPI

Chicagoland Surgical Assistants Inc.

  • Specialist
  • Downers Grove, IL
National Provider Identifier
1750919155
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHICAGOLAND SURGICAL ASSISTANTS INC.
Practice address
6330 Belmont Rd Ste 5
Downers Grove, IL 60516-2126
Phone
(630) 241-1933
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Thomas Kirk
Title
Chief Executive Officer
Phone
(832) 804-8703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6330 Belmont Rd Ste 5
Downers Grove, IL 60516-2126

Mailing address

15774 S la Grange Rd # 131
Orland Park, IL 60462-4766
Phone (832) 804-8717

National Provider Directory

National Provider Directory

Locations

6330 Belmont Rd
Ste 5
Downers Grove, IL 60516
Phone (630) 241-1933

15774 S La Grange Rd
#131
Orland Park, IL 60462

Practitioners & affiliated clinicians

Practitioners 7

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": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1750919155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15774 S LA GRANGE RD # 131",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624766",
            "telephone_number": "832-804-8717",
            "fax_number": "832-804-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 BELMONT RD STE 5",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162126",
            "telephone_number": "630-241-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND SURGICAL ASSISTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "832-804-8703"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.