SOUTHWEST SURGICAL EXCELLENCE (NPI# 1427179639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427179639 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST SURGICAL EXCELLENCE |
| Practice Address |
17495 La Grange Rd Tinley Park IL 60477-7581 |
| Mailing Address |
Po Box 388387 Chicago IL 60638-8387 |
| Practice Telephone | 7082267000 |
| Practice Fax Number | 7083885672 |
| Mailing Telephone | 7082267000 |
| Mailing Fax Number | 7083885672 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID G SEAMAN (CEO) |
| Authorized Official Telephone | 7083885500 |
| 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 |
17495 LA GRANGE RD |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-7581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750101 | Saoud Loutfi | Internal Medicine | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2005-09-20 |
| 1649885880 | Lizandro Sanchez | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2020-09-14 |
| 1336785088 | Katie Lynn Morton | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2019-11-18 |
| 1598309940 | Jessica Lynne Fiehler | Nurse Practitioner | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2019-10-29 |
| 1396229043 | Sarah Traverso | Physician Assistant | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2018-09-19 |
| 1043712730 | Jennifer Lynn Meter | Social Worker | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2018-03-08 |
| 1346768199 | Flor Delgado | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2017-08-31 |
| 1427594225 | Valerie Paluszak | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2017-01-17 |
| 1770027872 | Maria Cesario | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2016-12-07 |
| 1386186971 | Nicole Jenette Golak | Physician Assistant | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2016-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316009194 | Advocate Southwest Ambulatory Surgery Center LLC | Clinic/Center | 18200 S. Lagrange Rd, Tinley Park, IL 60487 | 2006-12-15 |
| 1720165723 | Suburban Surgical Facility | Clinic/Center | 18660 Graphic Dr, Ste 100, Tinley Park, IL 60477-6260 | 2006-11-01 |
| 1316071715 | Tinley Park Surgicare | Clinic/Center | 17728 Oak Park Ave, Tinley Park, IL 60477-3949 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245375 | Specialty Surgicare, Ltd | Clinic/Center | 500 W Golf Rd Ste 102, Schaumburg, IL 60195-3503 | 2020-04-29 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1922664622 | Premier Cardiac Surgery Center, LLC | Clinic/Center | 11560 S Kedzie Ave Ste 102, Merrionette Park, IL 60803-4517 | 2019-05-17 |
| 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 |
| 1538647474 | Palos Health Surgery Center, LLC | Clinic/Center | 15300 West Ave Ste 260, Orland Park, IL 60462-4600 | 2018-08-02 |
| 1013493824 | Ann & Robert H. Lurie Children's Hospital of Chicago | Clinic/Center | 1121 Techny Rd, Northbrook, IL 60062-5503 | 2018-07-15 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on SOUTHWEST SURGICAL EXCELLENCE.
| 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.