HYDE PARK SURGICAL CENTER LLC (NPI# 1205214103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205214103 |
| Entity Type | Organization |
| Organization Name | HYDE PARK SURGICAL CENTER LLC |
| Practice Address |
1644 E 53rd St Chicago IL 60615-4210 |
| Mailing Address |
1644 E 53rd Street Chicago IL 60615-4210 |
| Practice Telephone | 7737526340 |
| Practice Fax Number | 7737526368 |
| Mailing Telephone | 7737526340 |
| Mailing Fax Number | 7737526368 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | DR. DARREL SALDANHA (CEO) |
| Authorized Official Telephone | 7737526340 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
036130154 | IL | Ambulatory Health Care Facilities |
| Street Address |
1644 E 53RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307019 | Fortunee Massuda | Podiatrist | 1644 E 53rd St, Chicago, IL 60615-4210 | 2005-06-23 |
| 1144821380 | Mary A Grassano | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615-4489 | 2020-11-04 |
| 1861027484 | Riley W Puhr | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615-4210 | 2020-03-04 |
| 1659857696 | Lauren G Osterbrock | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615 | 2018-07-12 |
| 1952894768 | Maeve C Talbot | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615-4210 | 2018-06-07 |
| 1831692821 | Rene Gregory Aloba | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615-4210 | 2018-03-15 |
| 1770938623 | Minh Lam | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615-4210 | 2016-04-28 |
| 1740642321 | Illinois Anesthesia Specialists LLC | Anesthesiology | 1644 E 53rd St, Chicago, IL 60615-4210 | 2016-03-23 |
| 1376909523 | Amanda P Woods | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615-4210 | 2016-01-04 |
| 1811363153 | Jill Grider | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615-4210 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| 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 | ||||
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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.