ILLINI SURGICAL ASSOCIATES, INC; NPI #1437231446

Contact Information

ILLINI SURGICAL ASSOCIATES, INC

6809 ARMSTRONG CT
WOODRIDGE, IL 60517-1526

Phone: 630-795-1855
Fax: 630-795-1844
Website:

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

Indicates primary specialty

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NPI Profile & details for ILLINI SURGICAL ASSOCIATES, INC

NPI Number	`1437231446`
LBN Legal business name	ILLINI SURGICAL ASSOCIATES, INC
Authorized official	KEITH PENROD - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/19/2006
Last updated	08/29/2007 - About 19 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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ILLINI SURGICAL ASSOCIATES, INC

Contact Information

Specialty

Surgical

NPI Profile & details for ILLINI SURGICAL ASSOCIATES, INC

Reviews for ILLINI SURGICAL ASSOCIATES, INC