# NORTHERN ILLINOIS AMBULATORY SERVICE 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:** 1831115583
- **Authorized official:** HOWARD S KONOWITZ MD (MANAGING PARTNER)
- **Authorized official phone:** (847) 921-9733

## Contact information

- **Practice address:** 404 MCHENRY RD., BUFFALO GROVE, IL 60089-6740
- **Practice address phone:** (847) 821-9050
- **Mailing address:** 1121 LAKE COOK ROAD, SUITE M, DEERFIELD, IL 60015-5234
- **Mailing address phone:** (847) 945-4550
- **Mailing address fax:** (847) 948-8103

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 08/22/2020