Healthcare Provider Details

I. General information

NPI: 1215960992
Provider Name (Legal Business Name): HOFFMAN ESTATES SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 BARRINGTON RD DOB3 SUITE 0400
HOFFMAN ESTATES IL
60169
US

IV. Provider business mailing address

1555 N BARRINGTON RD
HOFFMAN ESTATES IL
60169-1019
US

V. Phone/Fax

Practice location:
  • Phone: 847-519-1600
  • Fax: 847-882-6202
Mailing address:
  • Phone: 847-519-1600
  • Fax: 847-882-6202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number1756908
License Number StateIL

VIII. Authorized Official

Name: SEAN ODELL
Title or Position: BOARD MEMBER
Credential:
Phone: 847-519-1600