INTERNATIONAL MEDICAL AND SURGICAL INSTITUTE,SC
NPI 1548697147
Clinic/Center - Ambulatory Surgical in Chicago, IL

NPI Status: Active since September 27, 2013

Contact Information

2359 N CALFORNIA AVE
CHICAGO, IL
ZIP 60647
Phone: (773) 278-7024

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About INTERNATIONAL MEDICAL AND SURGICAL INSTITUTE,SC

This page provides the complete NPI Profile along with additional information for International Medical And Surgical Institute,sc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1548697147 assigned on September 2013. The practitioner's primary taxonomy code is 261QA1903X with license number 36040647 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Gonzalo Ruiz M.d. (President)

NPI
1548697147
Provider Name
INTERNATIONAL MEDICAL AND SURGICAL INSTITUTE,SC
Entity Type
Organization
Location Address
2359 N CALFORNIA AVE CHICAGO, IL 60647
Location Phone
(773) 278-7024
Mailing Address
3061 W LOGAN BLVD CHICAGO, IL 60647
Mailing Phone
(777) 737-7278
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2013
Last Update Date
09-27-2013
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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.
36040647
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. GONZALO RUIZ M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(773) 278-7024

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C41414MEDICARE UPIN (02)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548697147
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881291418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 9 + 1 + 4 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1548697147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548697147, enumerated in the NPI registry as an "organization" on September 27, 2013

The provider is located at 2359 N Calfornia Ave Chicago, Il 60647 and the phone number is (773) 278-7024

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 27, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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