SURGICARE OF CHICAGO – NPI #1144482290
Clinic/Center

SURGICARE OF CHICAGO is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1144482290 to SURGICARE OF CHICAGO on June 30, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SURGICARE OF CHICAGO” is a dba name, the actual legal business name for this organization is GRAND AVENUE SURGICAL CENTER, LTD.. 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

The NPI profile was previously updated about 7 years ago on Aug 05, 2019. 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 SURGICARE OF CHICAGO below.

NPI Profile for
GRAND AVENUE SURGICAL CENTER, LTD.

NPI Number
1144482290
Enumeration Date

(about 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
GRAND AVENUE SURGICAL CENTER, LTD.
Doing Business As (dba): SURGICARE OF CHICAGO
Primary location
17 W GRAND AVE
CHICAGO, IL 60610-4306
Phone: (312) 222-5610 Fax: (312) 661-1771
Mailing address
Same as primary location
Organization Subpart
Yes - SURGICARE OF CHICAGO is subpart of another organization.
Authorized Official
JAVAD JAFARI
ADMINISTRATOR & COO
Phone: (312) 222-5610
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 7003133

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.