ELGIN SURGICARE LLC
NPI 1760772750
Clinic/Center - Ambulatory Surgical in Elgin, IL

Active since April 12, 2011CLIA 14D2023643 · Waiver
1554 TODD FARM DR, ELGIN, IL 60123(847) 888-7423 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elgin Surgicare Llc NPPES

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

ELGIN SURGICARE LLC (NPI 1760772750) is a healthcare organization registered as an ambulatory surgical in Elgin, Illinois and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through April 27, 2027, maintains 3 additional practice locations, and lists Naser Rustom, Owner, as its authorized official.

NPPES Registry Identity

NPI1760772750
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameELGIN SURGICARE LLC
Location Address1554 TODD FARM DRElgin, IL 60123-1287
Mailing Address1554 Todd Farm DrElgin, IL 60123-1287 · (847) 888-7423
Organization SubpartNo
Authorized OfficialNaser RustomOwner · (847) 888-7423
Enumeration DateApril 12, 2011
Last NPPES UpdateJune 24, 2019
NPI 1760772750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1554 TODD FARM DR, Elgin, IL 60123

Secondary Practice Locations 3

Location 14849 W Fullerton AveChicago, IL 60639-2503 · Phone (773) 368-1209
Location 210 Orland Square Dr Ste 10COrland Park, IL 60462-3207 · Phone (708) 642-6030
Location 34200 W 63rd StChicago, IL 60629-5010 · Phone (773) 581-5660

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 14D2023643

Elgin Surgicare LLC · Elgin, IL
Active · expires Apr 27, 2027
CLIA Number14D2023643
Laboratory TypeAmbulatory Surgery Suite
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorNaser Rustom
Laboratory Phone(773) 237-0755
Laboratory LocationElgin Surgicare LLC1554 Todd Farm Rd, Elgin, IL 60123
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pharmacy (Community/Retail Pharmacy)
1554 TODD FARM DR
ELGIN, IL 60123
Nurse Practitioner (Family)
1554 TODD FARM DR
ELGIN, IL 60123
Clinic/Center (Urgent Care)
1554 TODD FARM DR
ELGIN, IL 60123

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 Elgin Surgicare LLC's NPI number?

The NPI number for Elgin Surgicare LLC is 1760772750. It was assigned to this organization in the NPPES registry on April 12, 2011.

Where is Elgin Surgicare LLC located?

Elgin Surgicare LLC is located at 1554 Todd Farm Dr, Elgin, IL 60123. The listed phone number is (847) 888-7423.

What is Elgin Surgicare LLC's specialty?

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

Does Elgin Surgicare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2023643) is associated with this NPI, valid through April 27, 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 Elgin Surgicare LLC was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.