JSA OF ILLINOIS PC; NPI #1689966533

Contact Information

JSA OF ILLINOIS PC

309 E RAND RD
SUITE 347
ARLINGTON HEIGHTS, IL 60004-3103

Phone: 678-983-4479
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgical	363AS0400X	97	Physician Assistant
Surgical Assistant	246ZC0007X

Indicates primary specialty

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NPI Profile & details for JSA OF ILLINOIS PC

NPI Number	`1689966533`
LBN Legal business name	JSA OF ILLINOIS PC
Authorized official	ANN SCHAKER - (BILLING DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/11/2011
Last updated	08/16/2011 - About 15 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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JSA OF ILLINOIS PC

Contact Information

Specialty

Surgical

Surgical Assistant

NPI Profile & details for JSA OF ILLINOIS PC

Reviews for JSA OF ILLINOIS PC