MEDICARE: AIDEN CENTER FOR DAY SURGERY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	7002496	IL

General Provider Information

NPI Number	:	1922248517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIDEN CENTER FOR DAY SURGERY LLC

Provider Business Mailing Address
First Line	:	1580 W LAKE ST
Second Line	:
City	:	ADDISON
State	:	IL
Zip	:	60101-1171
Country	:	US
Telephone Number	:	312-842-4588
Fax Number	:

Provider Business Practice Location Address
First Line	:	1580 W LAKE ST
Second Line	:
City	:	ADDISON
State	:	IL
Zip	:	60101-1171
Country	:	US
Telephone Number	:	630-285-7000
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	TIAN XIA
Credential	:	DO
Telephone Number	:	312-842-4588

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	01/19/2026

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