ELMHURST ORTHOPAEDIC SURGICAL FACILITY, LLC (NPI# 1639668726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639668726 |
| Entity Type | Organization |
| Organization Name | ELMHURST ORTHOPAEDIC SURGICAL FACILITY, LLC |
| Practice Address |
300 W Butterfield Rd Elmhurst IL 60126-5017 |
| Practice Telephone | 6308340491 |
| Practice Fax Number | 6308340735 |
| Mailing Telephone | 6308340491 |
| Mailing Fax Number | 6308340735 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | MRS. DEBBIE VERDONE (PRACTICE MANAGER) |
| Authorized Official Telephone | 6308340491 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELMHURST ORTHOPAEDICS, SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
300 W BUTTERFIELD RD |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386613255 | Michelle Rae Knizner | Specialist | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2006-03-14 |
| 1235608076 | Amanda Accurso | Physical Therapist | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2018-11-23 |
| 1518483270 | Kyle Shelton | Specialist/Technologist | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2017-08-15 |
| 1841626694 | Christine L Koutsky | Nurse Practitioner | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2013-09-24 |
| 1861741084 | Stephanie Tate | Physical Therapist | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2012-09-04 |
| 1972789246 | Rakesh Nambiar | Physical Therapist | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2008-01-16 |
| 1679640163 | Kimberlyn Ann Benge | Physical Therapist | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2006-11-29 |
| 1003823212 | John W Nikoleit | Orthopaedic Surgery | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2006-08-01 |
| 1609882935 | Deven Parekh | Physical Medicine & Rehabilitation | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2006-07-31 |
| 1598716474 | Elmhurst Orthopaedics, Sc | Orthopaedic Surgery | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2006-05-15 |
| 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 |
| 1720085384 | Elmhurst Outpatient Surgery Center LLC | Clinic/Center | 1200 S York Rd, Ste 1400, Elmhurst, IL 60126-5633 | 2005-06-28 |
| 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.