Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Tiesenga Surgical Associates, S.C.

Surgery Physician in Elmwood Park, IL · enumerated 2006 · authorized official Kathleen Burdett, Administrative Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801876586

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Tiesenga Surgical Associates, S.C.

Other name <Unavail>

Practice address 1950 N Harlem Ave, Elmwood Park, IL, 60707

Phone (708) 453-6800

Fax (708) 453-3985

Enumeration date Jan 19, 2006

Last updated in NPPES Oct 18, 2022

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 042000966 (IL) Primary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 042000966 (IL) Secondary

Authorized official

Name Kathleen Burdett

Title Administrative Assistant

Phone (708) 453-6800

Other identifiers

Identifier	Type	State	Issuer
0160377350	Other	IL	BCBS
950730	Other	IL	MEDICARE PRACTICE
CI4143	Other	IL	RR MCR

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Tiesenga Surgical Associates, S.C.?

Tiesenga Surgical Associates, S.C. is registered in NPPES as a Surgery Physician (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-18.