CERTIFIED SURGICAL ASSISTANT, LLC; NPI #1407612559

Contact Information

CERTIFIED SURGICAL ASSISTANT, LLC

742 GLENSIDE CIR
BOLINGBROOK, IL 60490-5494

Phone: 630-854-5229
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for CERTIFIED SURGICAL ASSISTANT, LLC

NPI Number	`1407612559`
LBN Legal business name	CERTIFIED SURGICAL ASSISTANT, LLC
Authorized official	ELEANOR PAGULAYAN - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/26/2024
Last updated	02/26/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CERTIFIED SURGICAL ASSISTANT, LLC

Contact Information

Specialty

Surgical

NPI Profile & details for CERTIFIED SURGICAL ASSISTANT, LLC

Reviews for CERTIFIED SURGICAL ASSISTANT, LLC