OrganizationActive
Keystone Surgicare Inc
NPI 1043429277 · Ambulatory Surgical Clinic/Center · Hazel Crest, IL
Provider details
- NPI number
- 1043429277
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Martin Hall, Director of Center(708) 799-1144
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3330 W 177th St
Suite 2c
Hazel Crest, IL 60429-2184
Phone: (708) 799-1144
Street-level locationGet directions
Mailing address
3330 W 177th St
Hazel Crest, IL 60429-2184
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2009-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.