CUSTOM SURGICAL CARE LLC – NPI #1639923824
Clinic/Center

CUSTOM SURGICAL CARE LLC is an AHC clinic located in GLENVIEW, IL. NPPES has assigned the NPI number 1639923824 to CUSTOM SURGICAL CARE LLC on April 15, 2024. 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 CUSTOM SURGICAL CARE LLC below.

NPI Profile for
CUSTOM SURGICAL CARE LLC

NPI Number
1639923824
Enumeration Date

(more than 2 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
CUSTOM SURGICAL CARE LLC
Primary location
2350 RAVINE WAY STE 400
GLENVIEW, IL 60025-7621
Phone: (847) 232-4843 Fax: (847) 779-6877
Mailing address
1S376 SUMMIT AVE STE 4C
OAKBROOK TERRACE, IL 60181-3966
Phone: (847) 232-4843 Fax: (847) 779-6877
Organization Subpart
No
Authorized Official
MARIA OSIPOVA
PRESIDENT
Phone: (773) 551-5776
Updated
Certification Date
Apr 15, 2024

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.