Individual provider · Type 1 NPI

Alexandre Derevianko

Surgical Assistant · Great Lakes, IL

NPI number 1679987879 Active

Practice location

1811 Arkansas Ave
Great Lakes, IL 60088-4244

Fax (847) 733-5827

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007X238000408 (IL)

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

About NPI 1679987879

Alexandre Derevianko's National Provider Identifier is 1679987879, issued on Jun 16, 2014. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Great Lakes, IL. The record was last updated on Jun 19, 2014.