Elmhurst Outpatient Surgery Center Llc

LBN: Elmhurst Outpatient Surgery Center Llc
Elmhurst Outpatient Surgery Center Llc is an health care organization with primary practice located at 1200 S York Rd Ste 1400, Elmhurst IL 60126-5633. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Elmhurst Outpatient Surgery Center Llc can be contacted via phone (630) 758-8800, or through Mentz, Tina Madonia via phone (630) 758-8801.

Contact Information

Primary practice address
1200 S York Rd Ste 1400 Elmhurst IL 60126-5633
Phone: (630) 758-8800
Fax: (630) 758-8805
Website:
Map and Directions
Authorized official contact:
Name: Mentz, Tina Madonia
Phone: (630) 758-8801

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 7002330 Illinois

Profile Details

NPI number 1720085384
LBN Legal business name Elmhurst Outpatient Surgery Center Llc
DBA Doing business as
Authorized official Mentz, Tina Madonia
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
Last updated May 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720085384 NPPES
Illinois Other 490004570 MEDICARE FOR RAILROAD EMPLOYEES

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