Midwest Surgical Facility

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

016004798 Issued in IL

Legal business name

MIDWEST SURGICAL FACILITY

Practice address

1851 Douglas Rd
Montgomery, IL 60538-2159

Phone

(630) 892-0000

Fax

(630) 892-0000

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Praveen K Vohra, DPM

Title

Owner

Phone

(630) 892-0000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1780830307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 DOUGLAS RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382159",
            "telephone_number": "630-892-0000",
            "fax_number": "630-892-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 DOUGLAS RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382159",
            "telephone_number": "630-892-0000",
            "fax_number": "630-892-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGICAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "VOHRA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-892-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "016004798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Zuriel May, PT
• Janette Maya
• Callie McKinney
• McPhail Behavioral Health
• Mercy Care Health Systems LLC
• Arlette Millan Chavez, LCSW
• Abdelhadi Mnabhi, D.C.
• Anette K. Mnabhi, D.O.
• Samina Mohiuddin, PHARMD
• Montgomery & Countryside Fire Protection District

• Ambulatory Surgical Clinic/Center in Montgomery, IL
• Providers in Montgomery, 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 Aug 14, 2008; 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.