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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None 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.