WESTERN DIVERSEY SURGICAL CENTER – NPI #1265583934
Clinic/Center

WESTERN DIVERSEY SURGICAL CENTER is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1265583934 to WESTERN DIVERSEY SURGICAL CENTER on January 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WESTERN DIVERSEY SURGICAL CENTER” is a dba name, the actual legal business name for this organization is AMERICAN WOMENS MEDICAL GROUP. 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 Jun 14, 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 WESTERN DIVERSEY SURGICAL CENTER below.

NPI Profile for
AMERICAN WOMENS MEDICAL GROUP

NPI Number
1265583934
Enumeration Date

(more than 19 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
AMERICAN WOMENS MEDICAL GROUP
Doing Business As (dba): WESTERN DIVERSEY SURGICAL CENTER
Primary location
2744 N WESTERN AVE
CHICAGO, IL 60647
Phone: (773) 772-7726 Fax: (773) 772-3696
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RENLIN XIA
OWNER
Phone: (773) 235-8000
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 7000037

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.