1800 MCDONOUGH ROAD SURGERY CENTER LLC – NPI #1053597161
Clinic/Center

1800 MCDONOUGH ROAD SURGERY CENTER LLC is an AHC clinic located in HOFFMAN ESTATES, IL. NPPES has assigned the NPI number 1053597161 to 1800 MCDONOUGH ROAD SURGERY CENTER LLC on January 18, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

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 1800 MCDONOUGH ROAD SURGERY CENTER LLC below.

NPI Profile for
1800 MCDONOUGH ROAD SURGERY CENTER LLC

NPI Number
1053597161
Enumeration Date

(more than 18 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
1800 MCDONOUGH ROAD SURGERY CENTER LLC
Primary location
1800 MCDONOUGH RD
SUITE 100
HOFFMAN ESTATES, IL 60192-4566
Phone: (847) 742-7272 Fax:
Mailing address
2607 W 22ND ST
SUITE 48
OAK BROOK, IL 60523-1231
Phone: (630) 990-7770 Fax:
Organization Subpart
No
Authorized Official
KIANOOSH JAFARI
OWNER
Phone: (630) 990-7770
Updated
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
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 IL 7003116

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.