CENTER FOR MINIMALLY INVASIVE SURGERY – NPI #1598700841
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CENTER FOR MINIMALLY INVASIVE SURGERY is an AHC clinic located in MOKENA, IL. NPPES has assigned the NPI number 1598700841 to CENTER FOR MINIMALLY INVASIVE SURGERY on June 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTER FOR MINIMALLY INVASIVE SURGERY” is a dba name, the actual legal business name for this organization is SOUTHWEST SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 5 years ago on Sep 29, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTER FOR MINIMALLY INVASIVE SURGERY below.

NPI Profile for
SOUTHWEST SURGERY CENTER, LLC

NPI Number
1598700841
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWEST SURGERY CENTER, LLC
Doing Business As (dba): CENTER FOR MINIMALLY INVASIVE SURGERY
Primary location
19110 DARVIN DRIVE
MOKENA, IL 60448
Phone: (708) 478-8889 Fax: (708) 478-8507
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEBORAH GARDINER
BOARD MEMBER/MANAGER
Phone: (312) 399-8427
Updated
Certification Date
Sep 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
IL 7002595

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.