LOGAN SQUARE SURGERY CENTER – NPI #1508058934
Clinic/Center

LOGAN SQUARE SURGERY CENTER is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1508058934 to LOGAN SQUARE SURGERY CENTER on August 09, 2007. 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 LOGAN SQUARE SURGERY CENTER below.

NPI Profile for
LOGAN SQUARE SURGERY CENTER

NPI Number
1508058934
Enumeration Date

(about 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
LOGAN SQUARE SURGERY CENTER
Doing Business As (dba): LOGAN SQUARE SURGERY CENTER
Primary location
2004 N PULASKI RD
CHICAGO, IL 60639-3767
Phone: (773) 227-3950 Fax: (773) 252-3050
Mailing address
2006 N PULASKI RD
CHICAGO, IL 60639-3767
Phone: (773) 227-3950 Fax: (773) 252-3050
Organization Subpart
No
Authorized Official
TERRI NASSAR
MANAGER
Phone: (773) 227-3950
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)

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.