Healthcare Provider Details

I. General information

NPI: 1285670737
Provider Name (Legal Business Name): NAPERVILLE SURGICAL ASSOCIATES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W MARTIN AVE #225
NAPERVILLE IL
60540-6535
US

IV. Provider business mailing address

10 W MARTIN AVE #225
NAPERVILLE IL
60540-6535
US

V. Phone/Fax

Practice location:
  • Phone: 630-355-5633
  • Fax: 630-355-5215
Mailing address:
  • Phone: 630-355-5633
  • Fax: 630-355-5215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. DAVID J. PIAZZA
Title or Position: CEO
Credential: MD
Phone: 630-355-5633