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

Western Avenue Surgical Associates, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1285859595

Western Avenue Surgical Associates, LLC is an Ambulatory Surgical Clinic/Center in Chicago, Illinois. Registered with an NPI since 2007.

In the registry since
2007
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

712 N Dearborn St
Chicago, IL 60654-3818
Phone: (312) 981-1297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1285859595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Wiesman — Co-Owner · (312) 981-1297
NPI enumeratedApril 13, 2007
Last updated in NPPESMay 6, 2009
Mailing address712 N Dearborn St, Chicago, IL 60654-3818

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