Provider Demographics
NPI:1407075831
Name:STATUS POST SURGICAL SERVICES INC.
Entity Type:Organization
Organization Name:STATUS POST SURGICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WERTHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-402-2825
Mailing Address - Street 1:635 CHICAGO AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-2365
Mailing Address - Country:US
Mailing Address - Phone:312-402-2825
Mailing Address - Fax:
Practice Address - Street 1:635 CHICAGO AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-2365
Practice Address - Country:US
Practice Address - Phone:312-402-2825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty