OAK ASC, LLC
NPI 1962070896
Clinic/Center - Ambulatory Surgical in Bourbonnais, IL

Active since June 16, 2021CLIA 14D2229750 · Waiver
6712 N CONVENT ST, BOURBONNAIS, IL 60914(815) 928-8050 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oak Asc, Llc NPPES

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

OAK ASC, LLC (NPI 1962070896) is a healthcare organization registered as an ambulatory surgical in Bourbonnais, Illinois and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Michael Corcoran, President, as its authorized official.

NPPES Registry Identity

NPI1962070896
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameOAK ASC, LLC
Location Address6712 N CONVENT STBourbonnais, IL 60914-1528
Mailing Address400 S Kennedy DrBradley, IL 60915-2682 · (815) 928-8050
Organization SubpartNo
Authorized OfficialMichael CorcoranPresident · (815) 928-8050
Enumeration DateJune 16, 2021
NPPES CertifiedJune 16, 2021
NPI 1962070896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6712 N CONVENT ST, Bourbonnais, IL 60914

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 14D2229750

Oak ASC, LLC · Bourbonnais, IL
Active · expires Jul 14, 2027
CLIA Number14D2229750
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorTomasz T. Antkowiak
Laboratory Phone(815) 348-9500
Laboratory LocationOak ASC, LLC6712 N Convent St - Ste 200, Bourbonnais, IL 60914
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
577 services323 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
426 services176 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
209 services102 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
175 services85 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
147 services120 patients
Destruction of nerve branches of knee using imaging guidance 64624
This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.
92 services69 patients

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Orthopaedic Surgery
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Orthopaedic Surgery
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Nurse Practitioner
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Podiatrist
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Physician Assistant
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Physical Therapy Assistant
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Physician Assistant
6712 N CONVENT ST
BOURBONNAIS, IL 60914

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 Oak ASC, LLC's NPI number?

The NPI number for Oak ASC, LLC is 1962070896. It was assigned to this organization in the NPPES registry on June 16, 2021.

Where is Oak ASC, LLC located?

Oak ASC, LLC is located at 6712 N Convent St, Bourbonnais, IL 60914. The listed phone number is (815) 928-8050.

What is Oak ASC, LLC's specialty?

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

Does Oak ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2229750) is associated with this NPI, valid through July 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 Oak ASC, LLC was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.