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ASSOCIATED SURGICAL GROUP, SC
NPI 1336255124
Specialist in Peoria, IL

Active since August 22, 2006
7303 N KNOXVILLE AVE, PEORIA, IL 61614(309) 691-4005(309) 691-6144 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Associated Surgical Group, Sc NPPES

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

ASSOCIATED SURGICAL GROUP, SC (NPI 1336255124) is a healthcare organization registered as a specialist in Peoria, Illinois and active in the NPI registry since August 2006. The organization lists Gavish N Patel, President, as its authorized official.

NPPES Registry Identity

NPI1336255124
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameASSOCIATED SURGICAL GROUP, SC
Location Address7303 N KNOXVILLE AVEPeoria, IL 61614-2017
Mailing Address7303 N Knoxville AvePeoria, IL 61614-2017 · (309) 691-4005 · Fax (309) 691-6144
Phone(309) 691-4005
Fax(309) 691-6144
Organization SubpartNo
Authorized OfficialGavish N PatelPresident · (309) 691-4005
Enumeration DateAugust 22, 2006
Last NPPES UpdateOctober 2, 2012
✔ NPI 1336255124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 042-000313
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7303 N KNOXVILLE AVE, Peoria, IL 61614
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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

Other Providers at the Same Location NPPES 5

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

DR. JOHN KEVIN PAULSEN M.D.
Surgery
7303 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-4005
JAYME LEE PHILLIPS PA-C
Physician Assistant
7303 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-4005
DR. GAVISH NAVIN PATEL M.D.
Specialist
7303 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-4005
MS. BETH A MYERS CST
7303 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-4005
MS. MICHELE M KLEIN CST/CFA
7303 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-4005

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 Associated Surgical Group, Sc's NPI number?

The NPI number for Associated Surgical Group, Sc is 1336255124. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Associated Surgical Group, Sc located?

Associated Surgical Group, Sc is located at 7303 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 691-4005.

What is Associated Surgical Group, Sc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Associated Surgical Group, Sc was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.