WESTERN AVENUE SURGICAL ASSOCIATES, LLC
NPI 1285859595
Clinic/Center - Ambulatory Surgical in Chicago, IL
- Organization
- Clinic/Center
- Ambulatory Surgical
About WESTERN AVENUE SURGICAL ASSOCIATES, LLC
This page provides the complete NPI Profile along with additional information for Western Avenue Surgical Associates, Llc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1285859595 assigned on April 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Gary Wiesman M.d. (Co-owner)
- NPI
- 1285859595 Verify this NPI
- Provider Name
- WESTERN AVENUE SURGICAL ASSOCIATES, LLC
- Entity Type
- Organization
- Location Address
- 712 N DEARBORN ST CHICAGO, IL 60654
- Location Phone
- (312) 981-1297
- Mailing Address
- 712 N DEARBORN ST CHICAGO, IL 60654
- Mailing Phone
- (312) 981-1297
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-13-2007
- Last Update Date
- 05-06-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60654
CHICAGO, IL 60654
CHICAGO, IL 60654
CHICAGO, IL 60654
CHICAGO, IL 60654
CHICAGO, IL 60654
CHICAGO, IL 60654
CHICAGO, IL 60654
CHICAGO, IL 60654
CHICAGO, IL 60654
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285859595, enumerated as an "organization" on April 13, 2007.
The provider is located at 712 N DEARBORN ST CHICAGO, IL 60654 and the phone number is (312) 981-1297.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.