Organization · Type 2 NPI

Starsurgical 1 LLC

Surgical Physician Assistant · Aurora, IL

NPI number 1013614734 Active

Practice location

1325 N Highland Ave
Aurora, IL 60506-1449

Mailing address

PO Box 543
Montgomery, IL 60538-0543

Other practice locations

  • 2373 White Rose Dr, Montgomery, IL 60538-5140 · (630) 330-0200

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1013614734

Starsurgical 1 LLC's National Provider Identifier is 1013614734, issued on Feb 13, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, IL. The record was last updated on Feb 13, 2023.