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FULLERTON SURGERY CENTER INC
NPI 1285675678
Clinic/Center - Ambulatory Surgical in Chicago, IL

Active since June 09, 2006CLIA 14D0998861 · Waiver
4849 W FULLERTON AVE, CHICAGO, IL 60639(773) 237-2900(773) 622-0769 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fullerton Surgery Center Inc NPPES

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

FULLERTON SURGERY CENTER INC (NPI 1285675678) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 25, 2028 and lists Naser Rustom, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1285675678
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFULLERTON SURGERY CENTER LTD
Location Address4849 W FULLERTON AVEChicago, IL 60639-2503
Mailing Address4849 W Fullerton AveChicago, IL 60639-2503 · (773) 237-2900 · Fax (773) 622-0769
Phone(773) 237-2900
Fax(773) 622-0769
Organization SubpartNo
Authorized OfficialNaser RustomOwner/medical Director · (773) 237-2900
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 6, 2018
✔ NPI 1285675678 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 · 042618689
4849 W FULLERTON AVE, Chicago, IL 60639
Open in Google Maps ↗

Other Names 1

Other NameFullerton Surgery Center Inc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D0998861

Fullerton Surgery Center · Chicago, IL
Active · expires Apr 25, 2028
CLIA Number14D0998861
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorNaser Rustom MD
Laboratory Phone(773) 237-0755
Laboratory LocationFullerton Surgery Center4849 W Fullerton Ave, Chicago, IL 60639
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

DR. JOHN J O'KEEFE M.D.
Orthopaedic Surgery
4849 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (312) 326-6100
TEAM MED PC
Family Medicine
4849 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 309-6740
N R ANESTHESIA & PAIN MANAGEMENT S.C.
Anesthesiology (Pain Medicine)
4849 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 237-2900
MARIAN ORTHOPEDIC & REHABILITATION CENTERS SC
Orthopaedic Surgery
4849 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (312) 326-6100
GALILEE MEDICAL CENTER, S.C.
Radiology (Diagnostic Radiology)
4849 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 622-1200
FULLERTON REHABILITATION CENTER
Physical Therapist
4849 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 237-2900
GALILEE MEDICAL CENTER, S.C.
Family Medicine
4849 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 309-6740
AFFILIATED CHICAGO PHYSICIANS
Acupuncturist
4849 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 237-0755

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 Fullerton Surgery Center Ltd's NPI number?

The NPI number for Fullerton Surgery Center Ltd is 1285675678. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is also known as Fullerton Surgery Center Inc.

Where is Fullerton Surgery Center Ltd located?

Fullerton Surgery Center Ltd is located at 4849 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 237-2900.

What is Fullerton Surgery Center Ltd's specialty?

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

Does Fullerton Surgery Center Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0998861) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fullerton Surgery Center Ltd accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Fullerton Surgery Center Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fullerton Surgery Center Ltd was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.