Organization Active NPI

Tri-Cities Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Geneva, IL
National Provider Identifier
1760412092
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TRI-CITIES SURGERY CENTER LLC
Practice address
345 Delnor Drive
Geneva, IL 60134-4220
Phone
(630) 262-8100
Fax
(630) 262-8001
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Mr. Joseph G Ollayos, CASC
Title
Administrator
Phone
(630) 262-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X IL Primary

Addresses

Primary practice location

345 Delnor Drive
Geneva, IL 60134-4220

Mailing address

345 Delnor Drive
Geneva, IL 60134-4220
Phone (630) 262-8100

National Provider Directory

National Provider Directory

Locations

345 Delnor Dr
Geneva, IL 60134
Phone (630) 262-8100

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1760412092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DELNOR DRIVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344220",
            "telephone_number": "630-262-8100",
            "fax_number": "630-262-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DELNOR DRIVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344220",
            "telephone_number": "630-262-8100",
            "fax_number": "630-262-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "OLLAYOS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-262-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.