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HYDE PARK SURGERY CENTER, LLC
NPI 1609868041
Clinic/Center - Ambulatory Surgical in Chicago, IL

Active since August 22, 2005
1644 E 53RD ST, CHICAGO, IL 60615(773) 752-2111(773) 752-6703 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hyde Park Surgery Center, Llc NPPES

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

HYDE PARK SURGERY CENTER, LLC (NPI 1609868041) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since August 2005. The organization lists Fortunee Massuda, Medical Director & Ceo, as its authorized official.

NPPES Registry Identity

NPI1609868041
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameHYDE PARK SURGERY CENTER, LLC
Location Address1644 E 53RD STChicago, IL 60615-4210
Mailing Address9933 S Western Ave, Suite 102Chicago, IL 60643-1810 · (773) 233-3800 · Fax (773) 233-2513
Phone(773) 752-2111
Fax(773) 752-6703
Organization SubpartNo
Authorized OfficialFortunee MassudaMedical Director & Ceo · (773) 752-2111
Enumeration DateAugust 22, 2005
Last NPPES UpdateNovember 23, 2009
✔ NPI 1609868041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1644 E 53RD ST, Chicago, IL 60615
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Other Identifiers 4

Medicare PIN212062
Other50460IL · Bcbs
Medicare NSC5506750001IL
Medicare PIN1609868041IL

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.

CRAIG LEE OETJENS DPT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6540
MARY GRASSANO DPT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
LAURA CAMPBELL PT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
HYDE PARK SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 752-6340
THOMAS MACNEILL-ZIMMERMAN D.C.
Chiropractor
1644 E 53RD ST, SUITE A
CHICAGO, IL 60615
Cook County (773) 322-1123
AMANDA P WOODS
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
ROLANDO JARA OT
Occupational Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 241-6450
AMANDA WYATT MPT
Physical Therapist
1644 E 53RD ST
CHICAGO, IL 60615
Cook County (773) 214-6450

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 Hyde Park Surgery Center, LLC's NPI number?

The NPI number for Hyde Park Surgery Center, LLC is 1609868041. It was assigned to this organization in the NPPES registry on August 22, 2005.

Where is Hyde Park Surgery Center, LLC located?

Hyde Park Surgery Center, LLC is located at 1644 E 53rd St, Chicago, IL 60615. The listed phone number is (773) 752-2111.

What is Hyde Park Surgery Center, 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 Hyde Park Surgery Center, LLC was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.