# LITTLE EGYPT SURGICAL ASSISTING L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295950103
- **Authorized official:** MR. DENISE RENAE SONS RN,CNOR,CRNFA (CERT. REG. NURSE FIRST ASSISTANT)
- **Authorized official phone:** (618) 237-8770

## Contact information

- **Practice address:** 1207 N 1ST ST, BOX721, FAIRFIELD, IL 62837-2466
- **Practice address phone:** (618) 237-8770
- **Practice address fax:** (618) 847-4206
- **Mailing address:** 1207 N 1ST ST, BOX721, FAIRFIELD, IL 62837-2466
- **Mailing address phone:** (618) 237-8770
- **Mailing address fax:** (618) 847-4206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0041-282852 | IL | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 06/21/2018