Individual provider · Type 1 NPI
Jason Menno Maddela, SURGICAL ASSISTANT
Surgical Physician Assistant · Woodridge, IL
NPI number
1144666363
Active
Practice location
2538 Ravinia Ln
Woodridge, IL 60517-2218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
| Surgical Technologist | 246ZS0410X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Woodridge
About NPI 1144666363
Jason Menno Maddela, SURGICAL ASSISTANT's National Provider Identifier is 1144666363, issued on May 14, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Woodridge, IL. The record was last updated on Apr 13, 2022.