DEKALB SURGICAL SERVICES, LLC – NPI #1144607862
Clinic/Center

DEKALB SURGICAL SERVICES, LLC is an AHC clinic located in SYCAMORE, IL. NPPES has assigned the NPI number 1144607862 to DEKALB SURGICAL SERVICES, LLC on May 01, 2015. 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

The NPI profile was previously updated about 6 years ago on Feb 05, 2020. 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 DEKALB SURGICAL SERVICES, LLC below.

NPI Profile for
DEKALB SURGICAL SERVICES, LLC

NPI Number
1144607862
Enumeration Date

(more than 11 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
DEKALB SURGICAL SERVICES, LLC
Primary location
2515 KLEIN ROAD
SYCAMORE, IL 60178
Phone: (815) 756-8571 Fax:
Mailing address
2240 GATEWAY DR
SYCAMORE, IL 60178-3103
Phone: (815) 756-8571 Fax: (815) 756-5603
Organization Subpart
No
Authorized Official
GEORGE NEAL
CHIEF EXECUTIVE OFFICER
Phone: (469) 214-0144
Updated
Certification Date
Feb 05, 2020

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
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

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.