WESTERN AVENUE SURGICAL ASSOCIATES, LLC
NPI 1285859595
Clinic/Center - Ambulatory Surgical in Chicago, IL

Q: What is Western Avenue Surgical Associates, LLC's specialty?

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

Active since April 13, 2007

712 N DEARBORN ST, CHICAGO, IL 60654(312) 981-1297 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Western Avenue Surgical Associates, Llc NPPES

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

WESTERN AVENUE SURGICAL ASSOCIATES, LLC (NPI 1285859595) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since April 2007. The organization lists Gary Wiesman, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1285859595

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameWESTERN AVENUE SURGICAL ASSOCIATES, LLC

Location Address712 N DEARBORN STChicago, IL 60654-3818

Mailing Address712 N Dearborn StChicago, IL 60654-3818 · (312) 981-1297

Phone(312) 981-1297

Organization SubpartNo

Authorized OfficialGary WiesmanCo-owner · (312) 981-1297

Enumeration DateApril 13, 2007

Last NPPES UpdateMay 6, 2009

✔ NPI 1285859595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

712 N DEARBORN ST, Chicago, IL 60654

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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.

MEDICOS PAIN & SURGICAL SPECIALISTS, S.C.

Pain Medicine (Pain Medicine)

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (773) 283-3131

JULIA LYNN FRYE PA-C

Physician Assistant

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (312) 951-8200

MS. AUDREY R CHAKONIS PA-C

Physician Assistant

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (312) 951-8200

KIERRA LA SHAWN BRUNO-RODGERS

Specialist/Technologist, Other (Surgical Technologist)

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (708) 692-0728

DEARBORN MEDICAL CONSULTANTS, LLC

Pain Medicine (Interventional Pain Medicine)

712 N DEARBORN ST, SUITE 200
CHICAGO, IL 60654

Cook County (312) 280-4700

REBECCA E BIRNBAUM FNP

Nurse Practitioner (Family)

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (312) 951-8200

IV SOLUTION & INFUSION CENTERS, LLC

Anesthesiology

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (844) 948-6337

MARISSA FLUTURE PT

Physical Therapist

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (312) 951-8200

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 Western Avenue Surgical Associates, LLC's NPI number?

The NPI number for Western Avenue Surgical Associates, LLC is 1285859595. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Western Avenue Surgical Associates, LLC located?

Western Avenue Surgical Associates, LLC is located at 712 N Dearborn St, Chicago, IL 60654. The listed phone number is (312) 981-1297.

What is Western Avenue Surgical Associates, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Western Avenue Surgical Associates, LLC was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.