SUBURBAN SURGERY CENTER
NPI 1801876586
Surgery in Elmwood Park, IL

Active since January 19, 2006CLIA 14D2060868 · Waiver
1950 N HARLEM AVE, ELMWOOD PARK, IL 60707(708) 453-6800(708) 453-3985 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 18, 2022, Oct 11, 2022 (2 updates tracked since 2022).

About Suburban Surgery Center NPPES

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

SUBURBAN SURGERY CENTER (NPI 1801876586) is a healthcare organization registered as a surgery in Elmwood Park, Illinois and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through June 18, 2027 and lists Kathleen Burdett, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1801876586
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameTIESENGA SURGICAL ASSOCIATES, S.C.
Location Address1950 N HARLEM AVEElmwood Park, IL 60707
Mailing Address1950 N Harlem AveElmwood Park, IL 60707 · (708) 453-6800 · Fax (708) 453-3985
Fax(708) 453-3985
Organization SubpartNo
Authorized OfficialKathleen BurdettAdministrative Assistant · (708) 453-6800
Enumeration DateJanuary 19, 2006
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1801876586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 042000966
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 042000966 (IL)
1950 N HARLEM AVE, Elmwood Park, IL 60707

Other Names 1

Doing Business AsSuburban Surgery Center

Other Identifiers 3

Other0160377350IL · Bcbs
Other950730IL · Medicare Practice
OtherCI4143IL · Rr Mcr

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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
14D2060868
Facility Type
Physician Office
Certificate Effective Date
June 19, 2025
Certificate Expiration Date
June 18, 2027
Laboratory Director
FREDERICK M. TIESENGA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Suburban Surgery Center 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.

Reviews for SUBURBAN SURGERY CENTER

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Internal Medicine
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Nurse Practitioner (Family)
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Colon & Rectal Surgery
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Surgery (Vascular Surgery)
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Surgery
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Surgery
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Surgery
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Surgery
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Surgery
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707
Surgery
1950 N HARLEM AVE
ELMWOOD PARK, IL 60707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801876586, enumerated as an "organization" on January 19, 2006.

The provider is located at 1950 N HARLEM AVE ELMWOOD PARK, IL 60707 and the phone number is (708) 453-6800.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.