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Active NPI 1295039907 Organization (Entity Type 2)

Devonsurg Procedure Centers, Ltd.

Clinic/Center - Medical Specialty • Itasca, IL

About Devonsurg Procedure Centers, Ltd. NPI 1295039907 Summary

Devonsurg Procedure Centers, Ltd. is a verified healthcare organization specializing in Clinic/Center - Medical Specialty operating in Itasca, IL. Located at 650 E DEVON AVE STE 152A, this facility provides patient care and medical services under National Provider Identifier (NPI) 1295039907.

Administrative operations and authorized compliance are overseen by John Prunskis (Medical Director).

Facility Location & Contact Primary Location

Facility Address

650 E Devon Ave Ste 152a

Itasca, IL 601431265

Telephone 6302504542

Fax 6302504543

Authorized Official Information

Authorized Contact Name

DR. John Prunskis , M.D.

Title / Role

Medical Director

Official Telephone

6302504542

Facility Classifications & Specialties

Clinic/Center - Medical Specialty Primary Taxonomy

NUCC Taxonomy Code: 261QM2500X

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active January 10, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2011

Registered at 650 E DEVON AVE STE 152A, ITASCA, IL 601431265 (Tel: 6302504542)

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Updated Business Mailing Address January 10, 2011

Registered at 650 E DEVON AVE STE 152A, ITASCA, IL 601431265 (Tel: 6302504542)

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Organization / Clinic Name Updated January 10, 2011

Operating as DEVONSURG PROCEDURE CENTERS, LTD.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2011

Clinic/Center

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Initial NPI Registration & Enumeration January 10, 2011

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1295039907

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: January 10, 2011

Last Update: January 10, 2011

Update or Correct Listing

Mailing Address

650 E Devon Ave Ste 152a

Itasca, IL 601431265

Phone: 6302504542

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.