Suburban Surgical Associates, Ltd in Berwyn - Surgery
Suburban Surgical Associates, Ltd - NPI 1821088667
Suburban Surgical Associates, Ltd is a Surgery in Berwyn, Illinois. Suburban Surgical Associates, Ltd practices all healthcare services and medical treatments related to Surgery. The NPI Number for Suburban Surgical Associates, Ltd is 1821088667. The last update date is 2023-11-01.
Suburban Surgical Associates, Ltd's current location address is 3245 So Grove Ave.,ste #202, Berwyn, Illinois. You can contact this provider via phone number 7084840621 and fax number 7084840250. The mailing address for Suburban Surgical Associates, Ltd is 3245 So Grove Ave.,ste #202, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Suburban Surgical Associates, Ltd |
|---|---|
| Address | 3245 So Grove Ave.,ste #202, Berwyn, Illinois |
| Phone Number | 7084840621 |
| Fax Number | 7084840250 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Zawacki K Jeffrey |
| Credentials | M.D. |
| Telephone Number | 7084840621 |
NPI Number Detail
| NPI Number | 1821088667 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2023-11-01 |
Provider Mailing Address Detail
| Address | 3245 So Grove Ave.,ste #202 |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 604023636 |
| Phone Number | 7084840621 |
| Fax Number | 7084840250 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: 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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1619787 | BCBSIL GROUP NUMBER | ||
| PUL3GQNWVE5N | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Suburban Surgical Associates, Ltd by the Centers for Medicare & Medicaid Services?
The Suburban Surgical Associates, Ltd has been issued the NPI (National Provider Identifier) 1821088667. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Suburban Surgical Associates, Ltd?
The Suburban Surgical Associates, Ltd is physically situated at 3245 So Grove Ave.,Ste #202, in the city of Berwyn, state of IL, with the postal code 604023636.
What is Suburban Surgical Associates, Ltd's area of expertise and its corresponding taxonomy classification?
The Suburban Surgical Associates, Ltd's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1821088667 assigned to Suburban Surgical Associates, Ltd?
The Suburban Surgical Associates, Ltd was issued its 1821088667 on 2005-10-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Suburban Surgical Associates, Ltd most recently updated?
The details pertaining to the Suburban Surgical Associates, Ltd, including its address, specialty, and other relevant information, were last refreshed on 2023-11-01.