IRELAND GROVE CENTER FOR SURGERY LLC.
NPI 1750567442
Clinic/Center - Ambulatory Surgical in Bloomington, IL

Q: What is Ireland Grove Center For Surgery LLC.'s specialty?

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

Active since January 14, 2008CLIA 14D1078896 · Waiver

3801 IRELAND GROVE ROAD, BLOOMINGTON, IL 61704(309) 664-0101(309) 664-1010 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 19, 2026, Mar 27, 2026, Oct 6, 2025 and 4 more (7 updates tracked since 2024).

On this page

About Ireland Grove Center For Surgery Llc. NPPES

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

IRELAND GROVE CENTER FOR SURGERY LLC. (NPI 1750567442) is a healthcare organization registered as an ambulatory surgical in Bloomington, Illinois and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Edward Kolb, President, as its authorized official.

NPPES Registry Identity

NPI1750567442

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameIRELAND GROVE CENTER FOR SURGERY LLC.

Location Address3801 IRELAND GROVE ROADBloomington, IL 61704

Mailing Address3801 Ireland Grove RoadBloomington, IL 61704 · (309) 664-0101 · Fax (309) 664-1010

Phone(309) 664-0101

Fax(309) 664-1010

Organization SubpartNo

Authorized OfficialEdward KolbPresident · (309) 664-0101

Enumeration DateJanuary 14, 2008

Last NPPES UpdateMay 19, 20267 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1750567442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

3801 IRELAND GROVE ROAD, Bloomington, IL 61704

Open in Google Maps ↗

Other Identifiers 7

Other1538168786IL · Npi

Other1760543615IL · Npi

Other1992813174IL · Npi

Other1558347310IL · Npi

Other1164419818IL · Npi

Other1285633420IL · Npi

OtherIL1464IL · Ptan

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 14D1078896

Ireland Grove Center For Surgery · Bloomington, IL

Active · expires Jan 16, 2028

CLIA Number14D1078896

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 17, 2026

Certificate Expiration DateJanuary 16, 2028

Laboratory DirectorDennis Lee

Laboratory Phone(309) 664-0101

Laboratory LocationIreland Grove Center For Surgery3801 Ireland Grove Rd, Bloomington, IL 61704

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 11

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.

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.

178 services98 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.

136 services53 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

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.

83 services44 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

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.

47 services20 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.

42 services38 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

30 services18 patients

Other Providers at the Same Location NPPES

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

MRS. ALLISON COURTNEY KEERAN CSFA

Specialist/Technologist, Other (Surgical Assistant)

3801 IRELAND GROVE ROAD
BLOOMINGTON, IL 61704

McLean County (309) 664-0101

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 Ireland Grove Center For Surgery LLC.'s NPI number?

The NPI number for Ireland Grove Center For Surgery LLC. is 1750567442. It was assigned to this organization in the NPPES registry on January 14, 2008.

Where is Ireland Grove Center For Surgery LLC. located?

Ireland Grove Center For Surgery LLC. is located at 3801 Ireland Grove Road, Bloomington, IL 61704. The listed phone number is (309) 664-0101.

What is Ireland Grove Center For Surgery LLC.'s specialty?

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

Does Ireland Grove Center For Surgery LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1078896) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ireland Grove Center For Surgery LLC. was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.