Northern Illinois Surgery Center Limited Patrnership
Organization Active NPI Ambulatory Surgical Clinic/Center · Naperville, IL
NPI 1851407795 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1851407795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 7001860 (IL)
- Legal business name
- NORTHERN ILLINOIS SURGERY CENTER LIMITED PATRNERSHIP
- Practice address
- 475 E Diehl Rd
Naperville, IL 60563-1353 - Phone
- (630) 505-7733
- Fax
- (630) 799-0223
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Anthony J Fato, MBA, CASC
- Title
- Business Administrator
- Phone
- (630) 505-3383
Member of 1
Practitioners 1
-
Kevin Walsh, MD
National Provider Directory
Locations
75 Remittance Dr
Dept 3278
Chicago, IL 60675
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 7001860 | IL | Yes |
Addresses
Primary practice location
475 E Diehl Rd
Naperville, IL 60563-1353
Mailing address
75 Remittance Dr
Suite 3278
Chicago, IL 60675-1001
Phone (630) 505-7733
Other names
- The Center for Surgery
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All providers in Naperville, IL · Ambulatory Surgical Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.