Suburban Surgery Center
LBN: Tiesenga Surgical Associates, S.C.
Suburban Surgery Center is an health care organization with primary practice located at 1950 N Harlem Ave , Elmwood Park IL 60707. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Tiesenga Surgical Associates, S.C. can be contacted via phone (708) 453-6800, or through Burdett, Kathleen via phone (708) 453-6800.
Contact Information
Primary practice address
1950 N Harlem Ave
Elmwood Park IL 60707
Phone: (708) 453-6800
Fax: (708) 453-3985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 042000966 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 042000966 | Illinois |
Profile Details
| NPI number | 1801876586 |
|---|---|
| LBN Legal business name | Tiesenga Surgical Associates, S.C. |
| DBA Doing business as | Suburban Surgery Center |
| Authorized official | Burdett, Kathleen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Oct 18th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801876586 | NPPES |
| Illinois | Other | 0160377350 | BCBS |
| Illinois | Other | 950730 | BCBS |
| Illinois | Other | CI4143 | BCBS |
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