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RIVERSIDE AMBULATORY SURGERY CENTER, LLC
NPI 1851407373
Clinic/Center - Ambulatory Surgical in Bourbonnais, IL

Active since August 21, 2006CLIA 14D1041895 · Waiver
300 RIVERSIDE DR STE 1100, BOURBONNAIS, IL 60914(815) 802-3170 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Riverside Ambulatory Surgery Center, Llc NPPES

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

RIVERSIDE AMBULATORY SURGERY CENTER, LLC (NPI 1851407373) is a healthcare organization registered as an ambulatory surgical in Bourbonnais, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Teresa Bockover, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1851407373
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRIVERSIDE AMBULATORY SURGERY CENTER, LLC
Location Address300 RIVERSIDE DR STE 1100Bourbonnais, IL 60914-4997
Mailing Address300 Riverside Dr Ste 1100Bourbonnais, IL 60914-4997
Phone(815) 802-3170
Organization SubpartNo
Authorized OfficialTeresa BockoverClinical Director · (815) 802-3170
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1851407373 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 · 7003049
300 RIVERSIDE DR STE 1100, Bourbonnais, IL 60914
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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 14D1041895

Riverside Ambulatory Surgery Center · Bourbonnais, IL
Active · expires Jun 14, 2027
CLIA Number14D1041895
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorSteven Williams
Laboratory Phone(815) 802-3170
Laboratory LocationRiverside Ambulatory Surgery Center300 Riverside Dr - Suite 1100, Bourbonnais, IL 60914
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 8

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.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This 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.
3,230 services477 patients
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.
828 services484 patients
Release of tendon of palm or finger 26440
A 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.
42 services18 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
24 services15 patients
Creation of flap graft to head and/or neck 15733
A 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.
21 services20 patients
Incision of tendon covering of finger 26055
This 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.
17 services15 patients

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 Riverside Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Riverside Ambulatory Surgery Center, LLC is 1851407373. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Riverside Ambulatory Surgery Center, LLC located?

Riverside Ambulatory Surgery Center, LLC is located at 300 Riverside Dr Ste 1100, Bourbonnais, IL 60914. The listed phone number is (815) 802-3170.

What is Riverside Ambulatory Surgery Center, LLC's specialty?

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

Does Riverside Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1041895) is associated with this NPI, valid through June 14, 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 Riverside Ambulatory Surgery Center, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.