CHICAGO SURGICAL SPECIALISTS, LLC
NPI 1235560178
Dentist - Oral and Maxillofacial Surgery in Park Ridge, IL
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, 2028 and lists Anthony M. Spina, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chicago Surgical Specialists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Chicago Surgical Specialists, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILFrequently 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.
Is Chicago Surgical Specialists, LLC enrolled in Medicare?
Yes. Chicago Surgical Specialists, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chicago Surgical Specialists, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Chicago Surgical Specialists, LLC, in Maxillofacial Surgery, Oral Surgery and Plastic and Reconstructive Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 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 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.
# Chicago Surgical Specialists, Llc · NPI 1235560178
Oral and Maxillofacial Surgery organization in Park Ridge, Illinois. Organization record, active in the CMS NPPES registry since December 3, 2013.
## Identity
- **NPI:** 1235560178 (Entity type: Organization)
- **Enumerated:** December 3, 2013
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Anthony Spina, OWNER
## Practice location
- **Address:** 22 S WASHINGTON AVE, Park Ridge, IL 60068-4267
- **Phone:** (847) 268-3910 · **Fax:** (847) 897-3118
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Maxillofacial Surgery (1), Oral Surgery (1), Plastic and Reconstructive Surgery (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235560178) · Data from the CMS NPPES public registry.