# INDIANA UNIVERSITY HEALTH LAKESHORE SURGICARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CNI SURGICARE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427373679
- **Authorized official:** MR. GUDSTEINN T THORDARSON N/A (PRESIDENT)
- **Authorized official phone:** (219) 326-2555

## Contact information

- **Practice address:** 3111 VILLAGE POINTE, CHESTERTON, IN 46304-9689
- **Practice address phone:** (219) 983-1401
- **Practice address fax:** (219) 929-1408
- **Mailing address:** 3111 VILLAGE POINTE, CHESTERTON, IN 46304-9689
- **Mailing address phone:** (219) 983-1401
- **Mailing address fax:** (219) 929-1408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 13-011186-1 | IN | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | IN | — |

## Other

- **Enumeration date:** 03/31/2010
- **Last updated:** 08/07/2013