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SURGICARE OF CHICAGO
NPI 1144482290
Clinic/Center - Ambulatory Surgical in Chicago, IL

Active since June 30, 2008CLIA 14D1079104 · Waiver
17 W GRAND AVE, CHICAGO, IL 60610(312) 222-5610(312) 661-1771 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Surgicare Of Chicago NPPES

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

SURGICARE OF CHICAGO (NPI 1144482290) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Javad Nercy Jafari, Administrator & Coo, as its authorized official.

NPPES Registry Identity

NPI1144482290
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRAND AVENUE SURGICAL CENTER, LTD.
Location Address17 W GRAND AVEChicago, IL 60610-4306
Mailing Address17 W Grand AveChicago, IL 60610-4306 · (312) 222-5610 · Fax (312) 661-1771
Phone(312) 222-5610
Fax(312) 661-1771
Organization SubpartYesParent: J N R Associates, Inc.
Authorized OfficialJavad Nercy JafariAdministrator & Coo · (312) 222-5610
Enumeration DateJune 30, 2008
Last NPPES UpdateAugust 5, 2019
✔ NPI 1144482290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in IL · 7003133
17 W GRAND AVE, Chicago, IL 60610
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Other Names 1

Doing Business AsSurgicare Of Chicago

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1079104

Grand Avenue Surgical Center · Chicago, IL
Active · expires Jan 23, 2028
CLIA Number14D1079104
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorPekka Soini
Laboratory Phone(312) 222-5610
Laboratory LocationGrand Avenue Surgical Center17 W Grand Ave, Chicago, IL 60654
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Grand Avenue Surgical Center, Ltd.'s NPI number?

The NPI number for Grand Avenue Surgical Center, Ltd. is 1144482290. It was assigned to this organization in the NPPES registry on June 30, 2008. The provider is doing business as Surgicare Of Chicago.

Where is Grand Avenue Surgical Center, Ltd. located?

Grand Avenue Surgical Center, Ltd. is located at 17 W Grand Ave, Chicago, IL 60610. The listed phone number is (312) 222-5610.

What is Grand Avenue Surgical Center, Ltd.'s specialty?

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

Does Grand Avenue Surgical Center, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1079104) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grand Avenue Surgical Center, Ltd. was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.