Individual provider · Type 1 NPI

Robert Alan Caruso, PA-C

Surgical Physician Assistant · Oak Lawn, IL

NPI number 1649894114 Active

Practice location

4400 W 95th St Ste 407
Oak Lawn, IL 60453-2654

Call (708) 684-4029 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X085.008441 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1649894114

Robert Alan Caruso, PA-C's National Provider Identifier is 1649894114, issued on Jun 1, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oak Lawn, IL. The record was last updated on Dec 16, 2021.