Organization Active NPI

Gurnee Surgicare LLC

  • Ambulatory Surgical Clinic/Center
  • Gurnee, IL
National Provider Identifier
1922286210
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GURNEE SURGICARE LLC
Practice address
7505 Grand Ave
Gurnee, IL 60031-1551
Phone
(847) 856-7615
NPI assigned
Feb 8, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Paru Sharma, MD
Title
President
Phone
(847) 856-7615

Specialties & licenses 1

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

Addresses

Primary practice location

7505 Grand Ave
Gurnee, IL 60031-1551

Mailing address

7505 W. Grand Ave
Gurnee, IL 60031
Phone (847) 856-7615

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922286210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 W. GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-856-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311551",
            "telephone_number": "847-856-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURNEE SURGICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "PARU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-856-7615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.