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Contact Information

PHOENIX SURGICAL SERVICES
13223 BAYWOOD LN
HOMER GLEN, IL60491-5991
 Phone: 708-263-5092
 Fax: 708-301-6148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for PHOENIX SURGICAL SERVICES · (Female)

NPI # 1457023269
Status Active
Credentials
Entity Individual
Enumeration date 09/30/2021
Last updated 10/09/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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