Active NPI
Ambulatory Surgicenter of Downers Grove
- Ambulatory Surgical Clinic/Center
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 7002082
- Legal business name
- AMBULATORY SURGICENTER OF DOWNERS GROVE
- Practice address
- 4333 Main St
Downers Grove, IL 60515-2869 - Phone
- (630) 322-9451
- Fax
- (630) 322-9791
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amos Madanes, M.D.
- Title
- President
- Phone
- (630) 322-9451
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 7002082 | IL | Primary |
Addresses
Primary practice location
4333 Main St
Downers Grove, IL 60515-2869
Mailing address
4333 Main St
Downers Grove, IL 60515-2869
Phone (630) 322-9451
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1013240 | Ambulatory Surgicenter of Downers Grove | Certificate of waiver | Jun 3, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Specialist
- Downers Grove, IL
- NPI 1184790222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801952783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4333 MAIN ST",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152869",
"telephone_number": "630-322-9451",
"fax_number": "630-322-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4333 MAIN ST",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152869",
"telephone_number": "630-322-9451",
"fax_number": "630-322-9791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY SURGICENTER OF DOWNERS GROVE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MADANES",
"authorized_official_first_name": "AMOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-322-9451",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "IL",
"license": "7002082",
"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 Aug 22, 2020; 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.