PLAINFIELD SURGERY CENTER, LLC
NPI 1902078207
Clinic/Center - Ambulatory Surgical in Plainfield, IL

NPI Status: Active since March 26, 2008

Contact Information

24600 W 127TH ST
PLAINFIELD, IL
ZIP 60585
Phone: (815) 436-0911
Fax: (815) 436-0775

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 14D1081950
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-27-2028

About PLAINFIELD SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Plainfield Surgery Center, Llc, a provider established in Plainfield, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1902078207 assigned on March 2008. The practitioner's primary taxonomy code is 261QA1903X with license number 07003135 (IL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Michael Pacetti (Cfo)

NPI
1902078207
Provider Name
PLAINFIELD SURGERY CENTER, LLC
Entity Type
Organization
Location Address
24600 W 127TH ST PLAINFIELD, IL 60585
Location Phone
(815) 436-0911
Location Fax
(815) 436-0775
Mailing Address
24600 W 127TH ST PLAINFIELD, IL 60585
Mailing Phone
(815) 436-0911
Mailing Fax
(815) 436-0775
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2008
Last Update Date
07-21-2022
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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.
07003135
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

(IL)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL PACETTI

Authorized Official Title
CFO
Authorized Official Phone
(630) 942-7917

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 12 times for 12 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 30 times for 30 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 40 times for 40 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 13 times for 11 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 14 times for 14 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 39 times for 39 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 14 times for 13 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 15 times for 15 patients

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
14D1081950
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 28, 2026
Certificate Expiration Date
March 27, 2028
Laboratory Director
LEANNE BRAND-PHILLIPS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Plainfield 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 1902078207, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 0 → 0 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 0 + 7 + 1 + 6 + 2 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1902078207.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
24600 W 127TH ST, BUILDING B, SUITE 345
PLAINFIELD, IL 60585
Pediatrics
24600 W 127TH ST, BUILDING B SUITE 345
PLAINFIELD, IL 60585
Ophthalmology
24600 W 127TH ST, BLDG. B, SUITE 120
PLAINFIELD, IL 60585
Pediatrics
24600 W 127TH ST, BUILDING B, SUITE 345
PLAINFIELD, IL 60585
Psychiatry & Neurology (Psychiatry)
24600 W 127TH ST, STE B325
PLAINFIELD, IL 60585
Clinic/Center
24600 W 127TH ST, BLDG B SUITE 340
PLAINFIELD, IL 60585
Psychiatry & Neurology (Psychiatry)
24600 W 127TH ST, STE B325
PLAINFIELD, IL 60585
Specialist
24600 W 127TH ST, BLDG B SUITE 240
PLAINFIELD, IL 60585
Clinic/Center (Radiology)
24600 W 127TH ST
PLAINFIELD, IL 60585
Orthopaedic Surgery
24600 W 127TH ST, SUITE 225
PLAINFIELD, IL 60585
Dermatology
24600 W 127TH ST, BUILDING B SUITE 335
PLAINFIELD, IL 60585
Specialist
24600 W 127TH ST, BUILDING B SUITE 335
PLAINFIELD, IL 60585
Non-Pharmacy Dispensing Site
24600 W 127TH ST
PLAINFIELD, IL 60585
Obstetrics & Gynecology
24600 W 127TH ST, STE 125
PLAINFIELD, IL 60585
Neurological Surgery
24600 W 127TH ST, STE B205
PLAINFIELD, IL 60585
Registered Nurse (Registered Nurse First Assistant)
24600 W 127TH ST, BLDG B, STE 240
PLAINFIELD, IL 60585
Internal Medicine
24600 W 127TH ST, STE B100
PLAINFIELD, IL 60585
Family Medicine
24600 W 127TH ST, STE 340, BLDG B
PLAINFIELD, IL 60585
Social Worker (Clinical)
24600 W 127TH ST
PLAINFIELD, IL 60585
Internal Medicine
24600 W 127TH ST, BUILDING B, SUITE 100
PLAINFIELD, IL 60585

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902078207, enumerated as an "organization" on March 26, 2008.

The provider is located at 24600 W 127TH ST PLAINFIELD, IL 60585 and the phone number is (815) 436-0911.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.