Elgin Surgicare LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ELGIN SURGICARE LLC

Practice address

1554 Todd Farm Dr
Elgin, IL 60123-1287

Phone

(847) 888-7423

NPI assigned

Apr 12, 2011

Last updated

Jun 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Naser Rustom, M.D.

Title

Owner

Phone

(847) 888-7423

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ferdinand Catotal, FNP

  • Family Nurse Practitioner
  • Elgin, IL
  • NPI 1538681572

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1760772750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 TODD FARM DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231287",
            "telephone_number": "847-888-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 TODD FARM DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231287",
            "telephone_number": "847-888-7423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Orland Square Dr Ste 10C",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623207",
            "country_code": "US",
            "telephone_number": "708-642-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4849 W Fullerton Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606392503",
            "country_code": "US",
            "telephone_number": "773-368-1209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 W 63rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606295010",
            "country_code": "US",
            "telephone_number": "773-581-5660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELGIN SURGICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "RUSTOM",
        "authorized_official_first_name": "NASER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-888-7423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elgin Pediatric Therapy Inc
• Elgin Pharmacy Inc
• Elgin Physical Health Center
• Elgin Physical Medicine SC
• Elgin Skilled Nursing Facility LLC (Avantara of Elgin)
• Elgin Universal Dental
• Elgin Universal Dental LLC
• Elgin Well Child Conference (Well Child Center)
• Elgin West Pharmacy Inc
• Elio M Vento MD & Associates SC

• Ambulatory Surgical Clinic/Center in Elgin, IL
• Providers in Elgin, 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 Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.