MIDWAY SURGICAL SERVICES, LLC (NPI# 1306357801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306357801 |
| Entity Type | Organization |
| Organization Name | MIDWAY SURGICAL SERVICES, LLC |
| Practice Address |
4740 N Cumberland Ave Chicago IL 60656-4239 |
| Mailing Address |
6339 E Speedway Blvd Tucson AZ 85710-1147 |
| Practice Telephone | 5203238732 |
| Mailing Telephone | 5203238732 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | AUTUMN ROMO (LEAD PATIENT ADVOCATE) |
| Authorized Official Telephone | 5202580307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
4740 N CUMBERLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60656-4239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033652557 | Windy City Surgical Services, LLC | Clinic/Center | 4740 N Cumberland Ave, Chicago, IL 60656-4239 | 2016-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356885479 | Daniel Phalin | Physician Assistant | 5666 E. State St, Rockford, IL 60656 | 2016-12-08 |
| 1093083768 | Renalyn Rico | Physical Therapist | Gem Staffing Inc, 5440 N. Cumberland, 101a, Chicago, IL 60656 | 2011-12-08 |
| 1467734582 | Ralph A Cardone | Pharmacist | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-14 |
| 1326293226 | Richard J Bret | Dentist | 7100 W. Higgins, Chicago, IL 60656 | 2008-11-20 |
| 1588813372 | Ozgul Kadriye Holmgren | Behavioral Analyst | 7634 W Balmoral Ave, Chicago, IL 60656 | 2008-09-16 |
| 1841342375 | Magdi Naguib Gayed | Dentist | 8441 West Lawrence Ave, Chicago, IL 60656 | 2007-01-17 |
| 1225105281 | Frank Capobianco | Internal Medicine | 7046 W Higgins, Chicago, IL 60656 | 2006-11-28 |
| 1730136276 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 4734 N Cumberland Ave, Chicago, IL 60656 | 2006-05-30 |
| 1336195726 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 7342 W Foster Ave, Chicago, IL 60656 | 2006-05-26 |
| 1508149865 | Walgreens | Point of Service | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-23 |
| Find all providers in zip 60656 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
| 1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
| 1720505787 | Midwest Ambulatory Care LLC | Clinic/Center | 1212 N La Salle Dr Ste 100, Chicago, IL 60610-2379 | 2017-08-29 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1033652557 | Windy City Surgical Services, LLC | Clinic/Center | 4740 N Cumberland Ave, Chicago, IL 60656-4239 | 2016-12-01 |
| 1548697147 | International Medical and Surgical Institute,sc | Clinic/Center | 2359 N Calfornia Ave, Chicago, IL 60647-2939 | 2013-09-27 |
| 1073813721 | Chicago Foot and Ankle Surgicare, PC | Clinic/Center | 3153 W 111th St, Chicago, IL 60655-2205 | 2010-10-28 |
| 1801106851 | Midwest Medix Surgery Center | Clinic/Center | 8630 S Pulaski Rd, Chicago, IL 60652-3633 | 2010-10-08 |
| 1245466192 | Anti Aging Surgical Center | Clinic/Center | 3918 W 63rd St, Chicago, IL 60629-4604 | 2009-06-05 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on MIDWAY SURGICAL SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.