Illini Surgical Associates, Inc
Illini Surgical Associates, Inc provides Surgical Physician Assistant services in Woodridge, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6809 Armstrong CtWoodridge, IL 60517-1526 Not confirmed with CMS for 19 years — call before visiting
Phone: (630) 795-1855
Fax: (630) 795-1844
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X (IL) |
|---|
Record details
| NPI number | 1437231446 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Penrod — President · (630) 795-1855 |
| NPI enumerated | October 19, 2006 |
| Last updated in NPPES | August 29, 2007 |
| Mailing address | Po Box 5306, Woodridge, IL 60517-0306 |
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Mr. Jason Menno Maddela, SURGICALASSISTANT
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