PETERSON SURGICENTER ANESTHESIA SERVICES SC
NPI 1609905637
Clinic/Center in Chicago, IL

NPI Status: Active since March 05, 2007

Contact Information

2300 W PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 508-9000
Fax: (773) 508-1796

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center

About PETERSON SURGICENTER ANESTHESIA SERVICES SC

This page provides the complete NPI Profile along with additional information for Peterson Surgicenter Anesthesia Services Sc, a provider established in Chicago, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1609905637 assigned on March 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Roger I Gomez (Coo)

NPI: 1609905637
Provider Name: PETERSON SURGICENTER ANESTHESIA SERVICES SC
Entity Type: Organization
Location Address: 2300 W PETERSON AVE CHICAGO, IL 60659
Location Phone: (773) 508-9000
Location Fax: (773) 508-1796
Mailing Address: 2320 W PETERSON AVE 2ND FLOOR CHICAGO, IL 60659
Mailing Phone: (773) 508-9800
Mailing Fax: (773) 508-1796
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-05-2007
Last Update Date: 07-21-2022
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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
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
License State: IL
Taxonomy Description: A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. ROGER I GOMEZ
Authorized Official Title: COO
Authorized Official Phone: (773) 508-9800

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	0	9	9	0	5	6	3	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	0	9	18	0	10	6	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 0 + 1 + 0 + 6 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1609905637 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 6 providers are registered at the same or nearby location.

PETERSON OCCUPATIONAL HEALTH SERVICES, SC

Clinic/Center

(Occupational Medicine)