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

Active since June 28, 2005CLIA 14D0962025 · Waiver
1200 S YORK RD, STE 1400, ELMHURST, IL 60126(630) 758-8800(630) 758-8805 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elmhurst Outpatient Surgery Center Llc NPPES

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

ELMHURST OUTPATIENT SURGERY CENTER LLC (NPI 1720085384) is a healthcare organization registered as an ambulatory surgical in Elmhurst, Illinois and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Tina Madonia Mentz, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720085384
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameELMHURST OUTPATIENT SURGERY CENTER LLC
Location Address1200 S YORK RD, STE 1400Elmhurst, IL 60126-5633
Mailing Address1200 South York Rd, Ste 1400Elmhurst, IL 60126-5633 · (630) 758-8800 · Fax (630) 758-8805
Fax(630) 758-8805
Organization SubpartNo
Authorized OfficialTina Madonia MentzExecutive Director · (630) 758-8801
Enumeration DateJune 28, 2005
Last NPPES UpdateMay 12, 2008
NPI 1720085384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in IL · 7002330
1200 S YORK RD, Elmhurst, IL 60126

Other Identifiers 3

Medicare PIN141082
Other490004570IL · Medicare For Railroad Employees
Medicare ID-Type Unspecified141082IL · Provider Id #

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0962025

Elmhurst Outpatient Surgery Center · Elmhurst, IL
Active · expires Jun 21, 2027
CLIA Number14D0962025
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorAndrew M. Belavic
Laboratory Phone(630) 758-8800
Laboratory LocationElmhurst Outpatient Surgery Center1200 S York Road-Suite 1400, Elmhurst, IL 60126
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
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.
662 services444 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
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.
540 services277 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
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.
322 services141 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
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.
152 services150 patients
Injection of substance into lower spine canal using imaging guidance 62323
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.
152 services126 patients
Biopsy of large bowel using a flexible endoscope 45380
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.
144 services142 patients

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.

Obstetrics & Gynecology (Gynecology)
1200 S YORK RD, #4250
ELMHURST, IL 60126
Family Medicine
1200 S YORK RD, STE 4250
ELMHURST, IL 60126
Urology
1200 S YORK RD
ELMHURST, IL 60126
Orthopaedic Surgery (Sports Medicine)
1200 S YORK RD, SUITE 4250
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
Internal Medicine
1200 S YORK RD, 3250
ELMHURST, IL 60126
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1200 S YORK RD, SUITE 3290
ELMHURST, IL 60126

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 Elmhurst Outpatient Surgery Center LLC's NPI number?

The NPI number for Elmhurst Outpatient Surgery Center LLC is 1720085384. It was assigned to this organization in the NPPES registry on June 28, 2005.

Where is Elmhurst Outpatient Surgery Center LLC located?

Elmhurst Outpatient Surgery Center LLC is located at 1200 S York Rd Ste 1400, Elmhurst, IL 60126. The listed phone number is (630) 758-8800.

What is Elmhurst Outpatient Surgery Center LLC's specialty?

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

Does Elmhurst Outpatient Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0962025) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elmhurst Outpatient Surgery Center LLC was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.