ELMHURST OUTPATIENT SURGERY CENTER LLC
NPI 1720085384
Clinic/Center - Ambulatory Surgical in Elmhurst, IL

NPI Status: Active since June 28, 2005

Contact Information

1200 S YORK RD
STE 1400
ELMHURST, IL
ZIP 60126
Phone: (630) 758-8800
Fax: (630) 758-8805

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 14D0962025
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-21-2027

About ELMHURST OUTPATIENT SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Elmhurst Outpatient Surgery Center Llc, a provider established in Elmhurst, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1720085384 assigned on June 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 7002330 (IL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Tina Madonia Mentz (Executive Director)

NPI
1720085384
Provider Name
ELMHURST OUTPATIENT SURGERY CENTER LLC
Entity Type
Organization
Location Address
1200 S YORK RD STE 1400 ELMHURST, IL 60126
Location Phone
(630) 758-8800
Location Fax
(630) 758-8805
Mailing Address
1200 SOUTH YORK RD STE 1400 ELMHURST, IL 60126
Mailing Phone
(630) 758-8800
Mailing Fax
(630) 758-8805
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2005
Last Update Date
05-12-2008
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
7002330
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

TINA MADONIA MENTZ

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(630) 758-8801

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
141082MEDICARE PIN (08) 
490004570OTHER (01)ILMEDICARE FOR RAILROAD EMPLOYEES
141082MEDICARE ID-TYPE UNSPECIFIED (04)ILPROVIDER ID #

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 28 times for 22 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 11 times for 11 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 103 times for 103 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 148 times for 147 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 39 times for 38 patients

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 67 times for 59 patients

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 81 times for 33 patients

Creation of eye fluid drainage tract for treatment of glaucoma

This procedure, aimed at treating glaucoma, involves creating a small pathway in the eye to allow fluid to drain more effectively. This helps to lower eye pressure and prevent damage to the optic nerve, preserving your vision.

This service was performed 11 times for 11 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 57 times for 28 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 28 times for 28 patients

Imaging guidance for procedure, 60 minutes or less

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

This service was performed 45 times for 45 patients

Imaging of urinary tract following injection of a contrast agent

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

This service was performed 21 times for 21 patients

Incision or partial removal of foot bone (other than big toe) to straighten toe

This procedure involves making a small incision to partially remove a bone in the foot, excluding the big toe. The aim is to straighten a misaligned toe. It helps in relieving pain, improving foot function, and enhancing shoe comfort.

This service was performed 14 times for 11 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 14 times for 14 patients

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance

This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.

This service was performed 14 times for 11 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 585 times for 314 patients

Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level

This procedure involves injecting anesthetic or steroid medication into a specific nerve root in the upper or middle spine. It's performed using imaging technology for precise placement. The aim is to reduce inflammation and alleviate pain.

This service was performed 18 times for 15 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 344 times for 138 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 198 times for 149 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 54 times for 45 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

This service was performed 85 times for 39 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 88 times for 45 patients

Insertion of spinal neurostimulator generator or receiver

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

This service was performed 14 times for 14 patients

Insertion of tube into ureter using an endoscope through bladder area

This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.

This service was performed 15 times for 15 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 636 times for 430 patients

Removal of membrane of retina with removal of internal limiting membrane of retina

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

This service was performed 17 times for 17 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 195 times for 193 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

This service was performed 13 times for 12 patients

Repair of groin hernia (5 years or older)

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

This service was performed 12 times for 12 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0962025
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 22, 2025
Certificate Expiration Date
June 21, 2027
Laboratory Director
ANDREW M. BELAVIC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elmhurst Outpatient Surgery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720085384, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 0 + 8 + 1 + 0 + 3 + 1 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1720085384.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
1200 S YORK RD, SUITE 3250
ELMHURST, IL 60126
Surgery
1200 S YORK RD, SUITE 4240
ELMHURST, IL 60126
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1200 S YORK RD, SUITE 3290
ELMHURST, IL 60126
Urology
1200 S YORK RD
ELMHURST, IL 60126
Surgery
1200 S YORK RD
ELMHURST, IL 60126
Optometrist
1200 S YORK RD
ELMHURST, IL 60126
Pediatrics
1200 S YORK RD
ELMHURST, IL 60126
Orthopaedic Surgery (Sports Medicine)
1200 S YORK RD, SUITE 4250
ELMHURST, IL 60126
Physical Therapist
1200 S YORK RD, SUITE 3160
ELMHURST, IL 60126
Orthopaedic Surgery (Sports Medicine)
1200 S YORK RD, SUITE 4250
ELMHURST, IL 60126
Internal Medicine
1200 S YORK RD, 3250
ELMHURST, IL 60126
Plastic Surgery
1200 S YORK RD, SUITE 3200
ELMHURST, IL 60126
Plastic Surgery (Surgery of the Hand)
1200 S YORK RD, SUITE 3200
ELMHURST, IL 60126
Audiologist
1200 S YORK RD, SUITE 2000
ELMHURST, IL 60126
Pharmacy (Community/Retail Pharmacy)
1200 S YORK RD
ELMHURST, IL 60126
Obstetrics & Gynecology
1200 S YORK RD, SUITE 4120
ELMHURST, IL 60126
Dentist (General Practice)
1200 S YORK RD, SUITE 3110
ELMHURST, IL 60126
Physical Therapist
1200 S YORK RD, SUITE #3160
ELMHURST, IL 60126
Surgery
1200 S YORK RD, SUITE 4220
ELMHURST, IL 60126
Clinic/Center (Multi-Specialty)
1200 S YORK RD, STE 3200
ELMHURST, IL 60126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720085384, enumerated as an "organization" on June 28, 2005.

The provider is located at 1200 S YORK RD STE 1400 ELMHURST, IL 60126 and the phone number is (630) 758-8800.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.