Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elgin Surgicare LLC

Organization Internal Medicine Physician · NPI 1124556444

Elgin Surgicare LLC is an Internal Medicine Physician in East Chicago, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

521 W Chicago Ave
East Chicago, IN 46312-3206
Phone: (630) 345-0834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2230 Indianapolis Blvd, Whiting, IN 46394-1956 — (630) 345-0834

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01077720A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1952663593 (IN)

Record details

NPI number1124556444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tania Khamoo — Administrator · (773) 309-6740
NPI enumeratedMay 31, 2017
Last updated in NPPESMarch 17, 2018
Mailing address4941 N Kedzie Ave, Chicago, IL 60625-5009

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