SUBURBAN SURGERY CENTER – NPI #1801876586
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

SUBURBAN SURGERY CENTER is a surgeon located in ELMWOOD PARK, IL. NPPES has assigned the NPI number 1801876586 to SUBURBAN SURGERY CENTER on January 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUBURBAN SURGERY CENTER” is a dba name, the actual legal business name for this organization is TIESENGA SURGICAL ASSOCIATES, S.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 4 years ago on Oct 18, 2022. 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 SUBURBAN SURGERY CENTER below.

NPI Profile for
TIESENGA SURGICAL ASSOCIATES, S.C.

NPI Number
1801876586
Enumeration Date

(more than 20 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
TIESENGA SURGICAL ASSOCIATES, S.C.
Doing Business As (dba): SUBURBAN SURGERY CENTER
Primary location
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Phone: (708) 453-6800 Fax: (708) 453-3985
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHLEEN BURDETT
ADMINISTRATIVE ASSISTANT
Phone: (708) 453-6800
Updated
Certification Date
Oct 18, 2022

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.

Identifiers

Identifiers for SUBURBAN SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSIL0160377350
otherMEDICARE PRACTICEIL950730
otherRR MCRILCI4143
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
208600000X
- Surgery (Primary)
IL 042000966
2086S0129X
- Surgery / Vascular Surgery
IL 042000966

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.