Ingalls Same Day Surgery Center LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

7001043 Issued in IL

Legal business name

INGALLS SAME DAY SURGERY CENTER LTD

Practice address

6701 159TH St
Lower Level
Tinley Park, IL 60477-1758

Phone

(708) 429-0222

Fax

(708) 429-0293

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Mary Jo Crandall

Title

Vice President

Phone

(708) 915-3062

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Ingalls Same Day Surgery Center LTD PTRCCN 14C0001012

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ingalls Health Ventures

  • Home Infusion Therapy Pharmacy
  • Chicago, IL
  • NPI 1447823331

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1851318521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735078",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735078",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 159TH ST",
            "address_2": "LOWER LEVEL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771758",
            "telephone_number": "708-429-0222",
            "fax_number": "708-429-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGALLS SAME DAY SURGERY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-915-3062"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "7001043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "535",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indigo Counseling Center, PLLC
• Infant Insights Inc
• Infectious Disease Specialists LTD.
• Ingalls Memorial Hospital
• Ingalls Prof Pharmacy LL
• Tracey Ingram
• Innovative Care Home Health Inc.
• Innovative Outpatient Medical Systems
• Innovative Outpatient Medical Systems Inc.
• Harold Inocencio, FNP-BC

• Surgery Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.