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HYDE PARK SURGICAL CENTER LLC
NPI 1205214103
Clinic/Center - Ambulatory Surgical in Chicago, IL

Active since May 11, 2015CLIA 14D2095792 · Waiver
1644 E 53RD ST, CHICAGO, IL 60615(773) 752-6340(773) 752-6368 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2021, Jan 29, 2020 (2 updates tracked since 2020).

About Hyde Park Surgical Center Llc NPPES

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

HYDE PARK SURGICAL CENTER LLC (NPI 1205214103) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Melissa Rice, Adminsitrator, as its authorized official.

NPPES Registry Identity

NPI1205214103
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameHYDE PARK SURGICAL CENTER LLC
Location Address1644 E 53RD STChicago, IL 60615-4210
Mailing Address1644 E 53rd StreetChicago, IL 60615-4210 · (773) 752-6340 · Fax (773) 752-6368
Phone(773) 752-6340
Fax(773) 752-6368
Organization SubpartNo
Authorized OfficialMelissa RiceAdminsitrator · (773) 752-6340
Enumeration DateMay 11, 2015
Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1205214103 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 · 036130154
1644 E 53RD ST, Chicago, IL 60615
Open in Google Maps ↗

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 14D2095792

Hyde Park Surgical Center · Chicago, IL
Active · expires May 11, 2027
CLIA Number14D2095792
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorDarrel Saldanha
Laboratory Phone(773) 752-6340
Laboratory LocationHyde Park Surgical Center1644 East 53rd St, Chicago, IL 60615
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

CRAIG LEE OETJENS DPT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6540
MARY GRASSANO DPT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
LAURA CAMPBELL PT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
THOMAS MACNEILL-ZIMMERMAN D.C.
Chiropractor
1644 E 53RD ST, SUITE A
CHICAGO, IL 60615
Cook County (773) 322-1123
AMANDA P WOODS
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
ROLANDO JARA OT
Occupational Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
AMANDA WYATT MPT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 214-6450
JOSE SEGURA MPT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450

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 Hyde Park Surgical Center LLC's NPI number?

The NPI number for Hyde Park Surgical Center LLC is 1205214103. It was assigned to this organization in the NPPES registry on May 11, 2015.

Where is Hyde Park Surgical Center LLC located?

Hyde Park Surgical Center LLC is located at 1644 E 53rd St, Chicago, IL 60615. The listed phone number is (773) 752-6340.

What is Hyde Park Surgical Center LLC's specialty?

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

Does Hyde Park Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2095792) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hyde Park Surgical Center LLC was last updated on August 11, 2021. 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.