1. Home
  2. Directory
  3. Illinois
  4. Kenilworth
  5. Clinic Center
  6. NPI Profile

FENNER AMBULATORY SURGICAL CENTER
NPI 1134591191
Clinic/Center - Ambulatory Surgical in Kenilworth, IL

Active since October 29, 2015
512 GREEN BAY RD, KENILWORTH, IL 60043(847) 716-2400(847) 716-2441 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 13, 2017 (2 updates tracked since 2017).

About Fenner Ambulatory Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FENNER AMBULATORY SURGICAL CENTER (NPI 1134591191) is a healthcare organization registered as an ambulatory surgical in Kenilworth, Illinois and active in the NPI registry since October 2015. The organization lists Geoffrey C Fenner, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1134591191
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKENILWORTH SURGERY LLC
Location Address512 GREEN BAY RDKenilworth, IL 60043-1073
Mailing Address512 Green Bay RdKenilworth, IL 60043-1073 · (847) 716-2400 · Fax (847) 716-2441
Phone(847) 716-2400
Fax(847) 716-2441
Organization SubpartNo
Authorized OfficialGeoffrey C FennerPhysician/owner · (847) 716-2400
Enumeration DateOctober 29, 2015
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1134591191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
512 GREEN BAY RD, Kenilworth, IL 60043
Open in Google Maps ↗

Other Names 1

Doing Business AsFenner Ambulatory Surgical Center

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FENNER PLASTIC SURGERY, LTD.
Plastic Surgery
512 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 716-2400
CLAIRE SOCH PA
Physician Assistant
512 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 716-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenilworth Surgery LLC's NPI number?

The NPI number for Kenilworth Surgery LLC is 1134591191. It was assigned to this organization in the NPPES registry on October 29, 2015. The provider is doing business as Fenner Ambulatory Surgical Center.

Where is Kenilworth Surgery LLC located?

Kenilworth Surgery LLC is located at 512 Green Bay Rd, Kenilworth, IL 60043. The listed phone number is (847) 716-2400.

What is Kenilworth Surgery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Kenilworth Surgery LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.