Organization · Type 2 NPI
Elite Surgical LLC
Surgical Physician Assistant · Elwood, IL
NPI number
1699619007
Active
Practice location
24005 S Keith Allen Dr
Elwood, IL 60421-9303
Mailing address
21200 S Lagrange Rd # 322
Frankfort, IL 60423-2003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1699619007
Elite Surgical LLC's National Provider Identifier is 1699619007, issued on Apr 16, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Elwood, IL. The record was last updated on Apr 16, 2026.