Organization Active NPI

Six Corners Surgery Partners, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
National Provider Identifier
1811854276
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SIX CORNERS SURGERY PARTNERS, LLC
Practice address
4211 N Cicero Ave Ste 400
Chicago, IL 60641-1649
Phone
(617) 905-6922
NPI assigned
Jan 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Joseph Martin Thomas Booker
Title
Director of Operations
Phone
(617) 905-6922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

4211 N Cicero Ave Ste 400
Chicago, IL 60641-1649

Mailing address

4211 N Cicero Ave Ste 400
Chicago, IL 60641-1649
Phone (617) 905-6922

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
14D2337230Six Corners Surgery Partners LLC4211 N Cicero Ave - Ste 400, Chicago, IL 60641Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1811854276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 N CICERO AVE STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411649",
            "telephone_number": "617-905-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N CICERO AVE STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411649",
            "telephone_number": "617-905-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIX CORNERS SURGERY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MARTIN THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "617-905-6922"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.