OrganizationActive
Custom Surgical Care LLC
NPI 1639923824 · Ambulatory Surgical Clinic/Center · Glenview, IL
Provider details
- NPI number
- 1639923824
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maria Osipova, President(773) 551-5776
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2350 Ravine Way Ste 400
Glenview, IL 60025-7621
Phone: (847) 232-4843
Fax: (847) 779-6877
Street-level locationGet directions
Mailing address
1s376 Summit Ave Ste 4c
Oakbrook Terrace, IL 60181-3966
Registry dates
- Enumerated
- 2024-04-15
- Last updated
- 2024-04-15
- Certified
- 2024-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.