GRAND OAKS SURGICAL S.C. NPI 1588729396

NPI Information

NPI: 1588729396
Provider Name: GRAND OAKS SURGICAL, S.C.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1800 HOLLISTER DR
SUITE 204
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 549-1176
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GRAND OAKS SURGICAL, S.C. is an ambulatory surgical clinic center in Libertyville, IL. GRAND OAKS SURGICAL, S.C. NPI is 1588729396. The provider is registered as an organization entity type.

The provider's business location address is:

1800 HOLLISTER DR
SUITE 204
LIBERTYVILLE, IL
ZIP 60048-263
Phone: (847) 549-1176

The provider's authorized official is Bruce W. Irwin .
The authorized official title is Medical Director and has the following contact phone number (847) 549-1176.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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