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Contact Information

CBSURGICAL
800 MADISON ST
1C
LOCKPORT, IL60441-3535
 Phone: 630-484-6668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CBSURGICAL · (Female)

NPI Number 1144626912
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2014
Last updated 11/12/2014 - About 12 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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