# ELMHURST OUTPATIENT 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:** 1720085384
- **Authorized official:** TINA MADONIA MENTZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (630) 758-8801

## Contact information

- **Practice address:** 1200 S YORK RD, STE 1400, ELMHURST, IL 60126-5633
- **Practice address phone:** (630) 758-8800
- **Practice address fax:** (630) 758-8805
- **Mailing address:** 1200 SOUTH YORK RD, STE 1400, ELMHURST, IL 60126-5633
- **Mailing address phone:** (630) 758-8800
- **Mailing address fax:** (630) 758-8805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7002330 | IL | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 05/12/2008