Surgiassist, INC
Physician Assistant, Surgical in Frankfort, IL. Organization (NPI-2).
NPI number1295453074
StatusActive
Last updated in NPPESAug 18, 2022
Details
- NPI
- 1295453074
- Entity type
- Organization (NPI-2)
- Legal business name
- Surgiassist, INC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2022
- Certification date
- Aug 18, 2022
- Last updated
- Aug 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
21341 Windy Hill DrFrankfort, IL 60423-8621
Phone 786-252-2679 · Fax 815-806-7044
Mailing address
21341 Windy Hill DrFrankfort, IL 60423-8621
Phone 786-252-2679 · Fax 815-806-7044
Authorized official
Jose Manuel Roberti Gonzalez
Ceo
7862522679
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