WEST SUBURBAN SURGICAL, S.C. (NPI# 1548579576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548579576 |
| Entity Type | Organization |
| Organization Name | WEST SUBURBAN SURGICAL, S.C. |
| Practice Address |
1315 N Highland Ave Suite 203 Aurora IL 60506-1400 |
| Practice Telephone | 6308971282 |
| Practice Fax Number | 6309069860 |
| Mailing Telephone | 6308971282 |
| Mailing Fax Number | 6309069860 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |
| Authorized Official Name | DR. ERIK BORNCAMP (DOCTOR) |
| Authorized Official Telephone | 6308971282 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
1315 N HIGHLAND AVE SUITE 203 |
| City | AURORA |
| State | IL |
| Zip Code | 60506-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639158777 | Khurram Qadir | Internal Medicine | 1315 N Highland Ave, Ste 105, Aurora, IL 60506-1400 | 2006-01-16 |
| 1992065742 | Nicholas J Zambetti | Pharmacist | 1315 N Highland Ave, Aurora, IL 60506-1400 | 2012-05-25 |
| 1770856387 | Bernard G. Wolf II Do Ltd | Psychiatry & Neurology | 1315 N Highland Ave, Suite 100, Aurora, IL 60506-1400 | 2012-02-13 |
| 1710144662 | Aurora Internists and Primary Care Sc | Internal Medicine | 1315 N Highland Ave, 104, Aurora, IL 60506-1400 | 2008-05-19 |
| 1841479284 | Hung Shing Tsang | Pain Medicine | 1315 N Highland Ave, Suite 203, Aurora, IL 60506-1400 | 2007-11-02 |
| 1770762288 | Aurora Pain Clinic Ltd | Clinic/Center | 1315 N Highland Ave, Suite No105, Aurora, IL 60506-1400 | 2007-10-31 |
| 1205040391 | Kimberly Albright | Obstetrics & Gynecology | 1315 N Highland Ave, Suite 204, Aurora, IL 60506-1400 | 2007-05-09 |
| 1417077546 | Sifatur R Sayeed Mdsc | Internal Medicine | 1315 N Highland Ave, Suite # 200, Aurora, IL 60506-1400 | 2007-03-30 |
| 1477606820 | Fox Valley Pain Management, LLC | Pain Medicine | 1315 N Highland Ave, Suite 203, Aurora, IL 60506-1400 | 2007-01-19 |
| 1710995121 | Bernard G Wolf | Internal Medicine | 1315 N Highland Ave, Suite 100, Aurora, IL 60506-1400 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679991665 | John Frankel | Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2014-04-07 |
| 1972862241 | Kweku Dodoo Hazel | Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2012-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986901 | Congress Vein Clinic LLC | Surgery | 41 W Congress Pkwy, 1st Floor, Chicago, IL 60605-1531 | 2017-04-11 |
| 1124029095 | Gary J Merlotti | Surgery | 840 S Wood Street, Csb - Mc 958 - Ste 616, Chicago, IL 60612 | 2005-08-02 |
| 1457357592 | Michael J Kikta | Surgery | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2005-06-23 |
| 1467067942 | Francesca Bryan | Surgery | 1950 W Polk St Ste 5210, Chicago, IL 60612-3723 | 2020-09-11 |
| 1528486032 | Jacqueline Ann Kalmoe | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-04-01 |
| 1467713248 | Jacob Baruch Avraham | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2012-06-07 |
| 1053677047 | Antonio Desean Lozada | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2012-04-04 |
| 1740514140 | Emergency Surgical Services of Lake County LLC | Surgery | 1870 W Winchester Rd, Suite 112, Libertyville, IL 60048-5358 | 2009-10-01 |
| 1124255856 | Michael James Anstadt | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-06-21 |
| 1730341553 | Yuk Ming Liu | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2008-07-02 |
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| 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.