Organization · Type 2 NPI

Enterprise Surgical Assistance

Surgical Physician Assistant · Berwyn, IL

NPI number 1992910988 Active

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Fax (773) 404-2086

Mailing address

PO Box 56341
Chicago, IL 60656-0341

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1992910988

Enterprise Surgical Assistance's National Provider Identifier is 1992910988, issued on May 11, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Berwyn, IL. The record was last updated on Dec 8, 2009.