Elmwood Park Surgery Center Acquisition & Development LLC
Clinic/Center, Ambulatory Surgical in Elmwood Park, IL. Organization (NPI-2).
NPI number1194159467
StatusActive
Last updated in NPPESAug 22, 2013
Details
- NPI
- 1194159467
- Entity type
- Organization (NPI-2)
- Legal business name
- Elmwood Park Surgery Center Acquisition & Development LLC
- Organization subpart
- No
- Enumeration date
- Aug 22, 2013
- Last updated
- Aug 22, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Other names
- Elmwood Park Same Day Surgery Center (Doing Business As)
Practice location
1614 N Harlem AveElmwood Park, IL 60707-4302
Phone 847-869-9700 · Fax 847-869-7979
Mailing address
1614 N Harlem AveElmwood Park, IL 60707-4302
Phone 847-869-9700 · Fax 847-869-7979
Authorized official
Teresa Larkins
Or Coordinator
8478699700
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