Organization · Type 2 NPI

Tiesenga Surgical Associates, S.c.

Surgery Physician · Elmwood Park, IL

NPI number 1801876586 Active

Practice location

1950 N Harlem Ave
Elmwood Park, IL 60707

Fax (708) 453-3985

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	042000966 (IL)
Vascular Surgery Physician	2086S0129X	042000966 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

12 other providers at this address

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NPI record

NPI: 1801876586
Entity type: Organization (Type 2)
Issued: Jan 19, 2006
Last updated: Oct 18, 2022
Status: Active

Other names

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Suburban Surgery Center · doing business as
Suburban Surgery Center · doing business as

Authorized official

Kathleen Burdett
Administrative Assistant
(708) 453-6800

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801876586

Tiesenga Surgical Associates, S.c.'s National Provider Identifier is 1801876586, issued on Jan 19, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Elmwood Park, IL. The record was last updated on Oct 18, 2022.