Organization Active NPI

Orland Park Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Orland Park, IL
National Provider Identifier
1861470486
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7002553 Issued in IL
Legal business name
ORLAND PARK SURGICAL CENTER LLC
Practice address
9550 West 167 Street
Orland Park, IL 60467-5561
Phone
(708) 478-7437
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Erika Horstmann, RN
Title
Administrator
Phone
(708) 478-7437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7002553 IL Primary

Addresses

Primary practice location

9550 West 167 Street
Orland Park, IL 60467-5561

Mailing address

9550 West 167 Street
Orland Park, IL 60467-5561
Phone (708) 478-7437

Other identifiers 1

IdentifierTypeStateIssuer
00050131OtherILBCBSIL

National Provider Directory

National Provider Directory

Member of 1

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

Locations

75 Remittance Dr
Dept 6526
Chicago, IL 60675

36186 Treasury Ctr
Chicago, IL 60694

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1861470486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 WEST 167 STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675561",
            "telephone_number": "708-478-7437",
            "fax_number": "708-679-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 WEST 167 STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675561",
            "telephone_number": "708-478-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND PARK SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "HORSTMANN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-478-7437",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "00050131",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.