Healthcare Provider Details

I. General information

NPI: 1760198014
Provider Name (Legal Business Name): SUMMIT CENTER FOR SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1S210 SUMMIT AVE
OAKBROOK TERRACE IL
60181-3933
US

IV. Provider business mailing address

1S210 SUMMIT AVE
OAKBROOK TERRACE IL
60181-3933
US

V. Phone/Fax

Practice location:
  • Phone: 630-426-3969
  • Fax: 630-477-0465
Mailing address:
  • Phone: 630-426-3969
  • Fax: 630-477-0465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IBRAHIM MAJZOUB
Title or Position: CEO / PRESIDENT
Credential: M.D
Phone: 630-426-3980