Individual provider · Type 1 NPI

Shavon Petties, CST, CSFA

Surgical Assistant · Westmont, IL

NPI number 1992477897 Active

Practice location

815 Pasquinelli Dr
Westmont, IL 60559-1276

Call (630) 654-2515 Map

Fax (630) 654-2516

Mailing address

PO Box 713260
Chicago, IL 60677-1260

Other practice locations

  • 929 W Higgins Rd, Schaumburg, IL 60195-3203 · (847) 285-4200

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007X238-000744 (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…

21 other providers at this address

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About NPI 1992477897

Shavon Petties, CST, CSFA's National Provider Identifier is 1992477897, issued on Sep 29, 2021. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Westmont, IL. The record was last updated on Jun 11, 2026.