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CHICAGO SURGICAL SPECIALISTS, LLC
NPI 1235560178
Dentist - Oral and Maxillofacial Surgery in Park Ridge, IL

Active since December 03, 2013CLIA 14D2083862 · Waiver
22 S WASHINGTON AVE, PARK RIDGE, IL 60068(847) 268-3910(847) 897-3118 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chicago Surgical Specialists, Llc NPPES

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

CHICAGO SURGICAL SPECIALISTS, LLC (NPI 1235560178) is a healthcare organization registered as an oral and maxillofacial surgery in Park Ridge, Illinois and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Anthony M. Spina, Owner, as its authorized official.

NPPES Registry Identity

NPI1235560178
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCHICAGO SURGICAL SPECIALISTS, LLC
Location Address22 S WASHINGTON AVEPark Ridge, IL 60068-4267
Mailing Address22 S Washington AvePark Ridge, IL 60068-4267 · (847) 268-3910 · Fax (847) 897-3118
Phone(847) 268-3910
Fax(847) 897-3118
Organization SubpartNo
Authorized OfficialAnthony M. SpinaOwner · (847) 268-3910
Enumeration DateDecember 3, 2013
Last NPPES UpdateJune 4, 2020
NPPES CertifiedJune 4, 2020
✔ NPI 1235560178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
22 S WASHINGTON AVE, Park Ridge, IL 60068
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 14D2083862

Chicago Surgical Specialists · Park Ridge, IL
Active · expires Sep 14, 2026
CLIA Number14D2083862
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorAnthony M. Spina Dds MD
Laboratory Phone(847) 268-3910
Laboratory LocationChicago Surgical Specialists22 S Washington Ave, Park Ridge, IL 60068
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 2

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

DR. VICTOR CIMINO MD, DDS
Surgery (Plastic and Reconstructive Surgery)
22 S WASHINGTON AVE
PARK RIDGE, IL 60068
Cook County (847) 268-3910
DR. ANTHONY M SPINA DDS MD
Dentist (Oral and Maxillofacial Surgery)
22 S WASHINGTON AVE
PARK RIDGE, IL 60068
Cook County (847) 268-3910

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 Chicago Surgical Specialists, LLC's NPI number?

The NPI number for Chicago Surgical Specialists, LLC is 1235560178. It was assigned to this organization in the NPPES registry on December 3, 2013.

Where is Chicago Surgical Specialists, LLC located?

Chicago Surgical Specialists, LLC is located at 22 S Washington Ave, Park Ridge, IL 60068. The listed phone number is (847) 268-3910.

What is Chicago Surgical Specialists, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Does Chicago Surgical Specialists, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2083862) is associated with this NPI, valid through September 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chicago Surgical Specialists, LLC was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.