NPIMap

Organization Active NPI

Northpark First Surgical, Inc.

  • Surgical Assistant
  • Skokie, IL
National Provider Identifier
1760736649
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
NORTHPARK FIRST SURGICAL, INC.
Practice address
7427 Tripp Ave
Skokie, IL 60076-3809
Phone
(847) 656-5245
NPI assigned
Oct 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Fred Jendo, SA-CNPI 1346581113
Title
Cfo
Phone
(773) 401-6715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

7427 Tripp Ave
Skokie, IL 60076-3809

Mailing address

PO Box 109
Skokie, IL 60076-0109
Phone (847) 656-5245

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1760736649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600760109",
            "telephone_number": "847-656-5245",
            "fax_number": "847-656-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7427 TRIPP AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763809",
            "telephone_number": "847-656-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPARK FIRST SURGICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "JENDO",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-401-6715",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.