RIVERSIDE AMBULATORY SURGERY CENTER, LLC
NPI 1851407373
Clinic/Center - Ambulatory Surgical in Bourbonnais, IL
NPI Status: Active since August 21, 2006
Contact Information
300 RIVERSIDE DR STE 1100
BOURBONNAIS, IL
ZIP 60914
Phone: (815) 802-3170
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 14D1041895
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 06-14-2027
About RIVERSIDE AMBULATORY SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Riverside Ambulatory Surgery Center, Llc, a provider established in Bourbonnais, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1851407373 assigned on August 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 7003049 (IL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Teresa Bockover Rn (Clinical Director)
- NPI
- 1851407373
- Provider Name
- RIVERSIDE AMBULATORY SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 300 RIVERSIDE DR STE 1100 BOURBONNAIS, IL 60914
- Location Phone
- (815) 802-3170
- Mailing Address
- 300 RIVERSIDE DR STE 1100 BOURBONNAIS, IL 60914
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-21-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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.
- 7003049
- License State
- IL
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.
Complex removal of cataract with insertion of prosthetic lens
Creation of flap graft to head and/or neck
Creation of muscle graft to arm
Dilation of fluid outflow drainage within eye
Incision of tendon covering of finger
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
Release of tendon of palm or finger
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
Removal of cataract with insertion of prosthetic lens
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
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 51 times for 41 patientsA flap graft to the head or neck is a surgical procedure where healthy tissue is moved from one area of your body to another. This is done to replace damaged tissue, improve blood flow, or restore function in the head or neck area.
This service was performed 40 times for 35 patientsA muscle graft to the arm is a surgical procedure where healthy muscle tissue is taken from another part of your body and transplanted to the arm. This can restore function and strength, aiding in movement and overall arm health.
This service was performed 11 times for 11 patientsDilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.
This service was performed 25 times for 18 patientsThis procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
This service was performed 33 times for 27 patientsThis solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
This service was performed 3,100 times for 469 patientsA release of tendon in the palm or finger is a procedure aimed to improve movement. It involves making a small cut to release a tendon, which is a band of tissue connecting muscle to bone. This can relieve symptoms like stiffness or difficulty with bending or straightening the hand or fingers.
This service was performed 49 times for 19 patientsThis procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.
This service was performed 11 times for 11 patientsThis procedure involves the careful removal of a cancerous growth on the face, ears, eyelids, nose, lips, or mouth that measures between 2.1 to 3.0 cm. The goal is to eliminate the cancer while preserving surrounding healthy tissue.
This service was performed 17 times for 14 patientsThis procedure involves the careful removal of a cancerous skin growth larger than 4.0 cm from the face, ears, eyelids, nose, lips, or mouth. The aim is to eliminate cancer cells while preserving surrounding healthy tissue. Local anesthesia is typically used.
This service was performed 13 times for 13 patientsThis 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 848 times for 512 patientsThis is a procedure where a noncancerous skin growth, sized 2.1-3.0 cm, on the body, arms, or legs is removed. It's typically done under local anesthesia. The process involves cutting out the growth and stitching the skin back together. The aim is to eliminate discomfort and prevent potential health issues.
This service was performed 21 times for 17 patientsThis procedure involves the removal of a noncancerous skin growth on your face, ears, eyelids, nose, lips, or mouth that measures between 1.1-2.0 cm. It's a safe process to enhance your comfort and appearance.
This service was performed 17 times for 12 patientsThis procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.
This service was performed 11 times for 11 patientsCLIA 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
- 14D1041895
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- June 15, 2025
- Certificate Expiration Date
- June 14, 2027
- Laboratory Director
- STEVEN WILLIAMS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Riverside Ambulatory 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 1851407373, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851407373, enumerated as an "organization" on August 21, 2006.
The provider is located at 300 RIVERSIDE DR STE 1100 BOURBONNAIS, IL 60914 and the phone number is (815) 802-3170.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.