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

Tiesenga Surgical Associates, SC

Organization Surgery Physician · NPI 1801876586

Tiesenga Surgical Associates, SC is a Surgery Physician in Elmwood Park, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1950 N Harlem Ave
Elmwood Park, IL 60707
Phone: (708) 453-6800
Fax: (708) 453-3985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 042000966 (IL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 042000966 (IL)

Record details

NPI number1801876586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Burdett — Administrative Assistant · (708) 453-6800
Other names Suburban Surgery Center; Suburban Surgery Center
NPI enumeratedJanuary 19, 2006
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address1950 N Harlem Ave, Elmwood Park, IL 60707

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