Healthcare Provider Details

I. General information

NPI: 1285577601
Provider Name (Legal Business Name): STELLAR SURGICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 N WESTERN AVE
CHICAGO IL
60645-1812
US

IV. Provider business mailing address

830 N ASHLAND AVE APT 1N
CHICAGO IL
60622-5684
US

V. Phone/Fax

Practice location:
  • Phone: 773-280-7001
  • Fax:
Mailing address:
  • Phone: 847-924-8283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SAMEER SHAH
Title or Position: PARTNER
Credential: MD
Phone: 773-280-7001