Center for Reconstructive Surgery of Oak Lawn – Ambulatory Surgical Clinic/Center, NPI 1518967082

Center for Reconstructive Surgery of Oak Lawn is a healthcare provider. based in Oak lawn, Illinois. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 7002843 (IL). The NPI Number for Center for Reconstructive Surgery of Oak Lawn is 1518967082

Main info

Organization
Name
Center for Reconstructive Surgery of Oak Lawn
NPI
1518967082
Phone
(708) 499-3355
Address
6309 W 95TH ST
Authorized Official
CANDICE B DAVIS CHIEF REVENUE CYCLE OFFICER
Enumeration Date
27 July 2005
Last Update Date
11 September 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Center for Reconstructive Surgery of Oak Lawn

  • 6309, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    OAK LAWN, IL 604532201

    Phone: (708) 499-3355

    Fax: (708) 425-5654

    Type: Mailing

  • 6311 W 95TH ST

    OAK LAWN, IL 604532201

    Phone: (708) 499-3355

    Fax: (708) 425-5654

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040818001075OAmbulatory Surgical CenterILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg1,960283$0
66984Removal of cataract with insertion of prosthetic lens648397$0
66174Dilation of fluid outflow drainage within eye5035$0
65820Incision to improve eye fluid flow3017$0
66991Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye2615$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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Reviews

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Frequently asked questions

Can I use this page to confirm Center for Reconstructive Surgery of Oak Lawn's NPI?
Yes. Center for Reconstructive Surgery of Oak Lawn is listed with NPI 1518967082 in the public NPI dataset.
Can I rely on Center for Reconstructive Surgery of Oak Lawn being an active provider?
As of the registry snapshot, Center for Reconstructive Surgery of Oak Lawn is marked active.
What is Center for Reconstructive Surgery of Oak Lawn's specialty?
The listing groups Center for Reconstructive Surgery of Oak Lawn with Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is Center for Reconstructive Surgery of Oak Lawn based?
Center for Reconstructive Surgery of Oak Lawn is tied to Oak Lawn, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about Center for Reconstructive Surgery of Oak Lawn up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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