South Pulaski Surgical, LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTH PULASKI SURGICAL, LTD

Practice address

6224 S Pulaski Rd
Chicago, IL 60629-4610

Phone

(773) 735-8200

NPI assigned

Feb 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark Cohen, DC

Title

President

Phone

(773) 735-8200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1871899328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294610",
            "telephone_number": "773-735-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294610",
            "telephone_number": "773-735-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PULASKI SURGICAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-735-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Loop Pediatrics, LLC
• South Loop Primary and Urgent Care, LLC
• South Loop Skilled Nursing Facility LLC (Warren Barr South Loop)
• South Loop Urgent Care, LLC
• South Michigan Ave Investments LLC (Home Helpers 58363)
• South Shore Cardiology Group Inc
• South Shore Foot and Ankle Wellness Center LLC
• South Shore Hospital Corporation
• South Shore Hospital Corporation (South Shore Hospital)
• South Shore Hospital Corporation

• Ambulatory Surgical Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.