# CARDIOVASCULAR INSTITUTE AMBULATORY SURGERY CENTER, 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538909734
- **Authorized official:** JACOB CORBELL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (630) 600-0748

## Contact information

- **Practice address:** 10 MARTIN AVE, NAPERVILLE, IL 60540-6535
- **Practice address phone:** (630) 600-0700
- **Mailing address:** 5396 LA-311, HOUMA, LA 70360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/28/2024
- **Last updated:** 05/28/2024