ELMHURST OUTPATIENT SURGERY CENTER LLC (NPI# 1720085384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720085384 |
| Entity Type | Organization |
| Organization Name | ELMHURST OUTPATIENT SURGERY CENTER LLC |
| Practice Address |
1200 S York Rd Ste 1400 Elmhurst IL 60126-5633 |
| Mailing Address |
1200 South York Rd Ste 1400 Elmhurst IL 60126-5633 |
| Practice Telephone | 6307588800 |
| Practice Fax Number | 6307588805 |
| Mailing Telephone | 6307588800 |
| Mailing Fax Number | 6307588805 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | TINA MADONIA MENTZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6307588801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
7002330 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE FOR RAILROAD EMPLOYEES | 490004570 | 01 |
| Street Address |
1200 S YORK RD STE 1400 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730606583 | Leann R Rushing | Physician Assistant | 1200 S York Rd, Sutie 2000, Elmhurst, IL 60126 | 2017-08-23 |
| 1518211325 | Chicago Neurological Surgery P.C. | Neurological Surgery | 1200 S York Rd, Suite 4280, Elmhurst, IL 60126-5626 | 2012-10-31 |
| 1649522582 | Jennifer L Specht | Physical Therapist | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2012-10-02 |
| 1972855815 | Ilea K Pavel | Physical Therapist | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2012-10-02 |
| 1619260304 | Maribeth Maney | Nurse Practitioner | 1200 S York Rd, Suite 3100, Elmhurst, IL 60126-5626 | 2011-05-27 |
| 1508164898 | Hinsdale Orthopaedic Associates Sc | Specialist | 1200 S York Rd, Suite 4110, Elmhurst, IL 60126-5626 | 2011-03-10 |
| 1619283264 | Midwest Hand Surgery Sc | Clinic/Center | 1200 S York Rd, Suite 3200, Elmhurst, IL 60126-5626 | 2010-08-20 |
| 1194039669 | Michelle Jackowski | Advanced Practice Midwife | 1200 S York Rd, #4120, Elmhurst, IL 60126 | 2010-07-27 |
| 1952632101 | Rama R Dandamudi Md Sc | Surgery | 1200 S York Rd, 4250, Elmhurst, IL 60126-5626 | 2010-01-27 |
| 1457682080 | Arenson Podiatric Services, PC | Podiatrist | 1200 S York Rd, Suite 3150, Elmhurst, IL 60126-5626 | 2010-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700188000 | Elmhurst Medical & Surgical Center Corporation | Clinic/Center | 340 W Butterfield Rd Ste 1b, Elmhurst, IL 60126-5047 | 2010-11-19 |
| 1639668726 | Elmhurst Orthopaedic Surgical Facility, LLC | Clinic/Center | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2018-05-04 |
| 1205234143 | River North Surgical Suites Inc. | Clinic/Center | 340 W Butterfield Rd, Suite 1b, Elmhurst, IL 60126-5047 | 2014-12-09 |
| 1417385790 | Illinois Back & Neck Institute LLC | Clinic/Center | 360 W Butterfield Rd, Suite 100, Elmhurst, IL 60126-5068 | 2013-10-23 |
| 1306977061 | Elmhurst Medsurge Ltd | Clinic/Center | 401 N York St, Ul2, Elmhurst, IL 60126-5510 | 2007-03-07 |
| 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 |
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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.