Organization Active NPI

Ambulatory Surgicenter of Downers Grove

  • Ambulatory Surgical Clinic/Center
  • Downers Grove, IL
National Provider Identifier
1801952783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7002082 Issued in IL
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amos Madanes, M.D.NPI 1184790222
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)CodeLicenseStatePrimary
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1013240Ambulatory Surgicenter of Downers Grove4333 Main Street, Downers Grove, IL 60515Certificate of waiverJun 3, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.