OrganizationActive
1915-25 95th St., LLC
NPI 1447784921 · Ambulatory Surgical Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1447784921
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ravish Shah, Office Manager(630) 571-1100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1915 E 95th St
Chicago, IL 60617
Phone: (630) 571-1100
Fax: (630) 504-6265
Street-level locationGet directions
Mailing address
1915 E 95th Street
Chicago, IL 60617
Registry dates
- Enumerated
- 2017-04-12
- Last updated
- 2017-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.