CHICAGO SURGERY CENTER, LLC
NPI 1861684458
Clinic/Center - Ambulatory Surgical in Chicago, IL

Q: What is Hispanic American Endoscopy Center, LLC's specialty?

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

Active since August 16, 2007CLIA 14D1071140 · Waiver

3536 W FULLERTON AVE, CHICAGO, IL 60647(773) 772-1212(773) 697-8305 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2019, Mar 8, 2019, Mar 28, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Chicago Surgery Center, Llc NPPES

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

CHICAGO SURGERY CENTER, LLC (NPI 1861684458) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Ryan Rosenthal, Owner, as its authorized official.

NPPES Registry Identity

NPI1861684458

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameHISPANIC AMERICAN ENDOSCOPY CENTER, LLC

Location Address3536 W FULLERTON AVEChicago, IL 60647-2443

Mailing Address3536 W Fullerton AveChicago, IL 60647-2443 · (312) 761-0100 · Fax (773) 697-8305

Phone(773) 772-1212

Fax(773) 697-8305

Organization SubpartNo

Authorized OfficialRyan RosenthalOwner · (312) 761-0100

Enumeration DateAugust 16, 2007

Last NPPES UpdateApril 17, 20194 updates tracked since enumeration

✔ NPI 1861684458 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 · 7003126

3536 W FULLERTON AVE, Chicago, IL 60647

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Other Names 1

Doing Business AsChicago Surgery Center, Llc

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 14D1071140

Chicago Surgery Center · Chicago, IL

Active · expires Jul 18, 2027

CLIA Number14D1071140

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 19, 2025

Certificate Expiration DateJuly 18, 2027

Laboratory DirectorAleksandr Goldvekht M D

Laboratory Phone(312) 761-0100

Laboratory LocationChicago Surgery Center3536 W Fullerton, Chicago, IL 60647

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Hispanic American Endoscopy Center, LLC's NPI number?

The NPI number for Hispanic American Endoscopy Center, LLC is 1861684458. It was assigned to this organization in the NPPES registry on August 16, 2007. The provider is doing business as Chicago Surgery Center, LLC.

Where is Hispanic American Endoscopy Center, LLC located?

Hispanic American Endoscopy Center, LLC is located at 3536 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 772-1212.

What is Hispanic American Endoscopy Center, LLC's specialty?

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

Does Hispanic American Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1071140) is associated with this NPI, valid through July 18, 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 Hispanic American Endoscopy Center, LLC was last updated on April 17, 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.