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Organization
COMMUNITY SURGICAL ASSISTANTS LLC
Active
Organization
COMMUNITY SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WALSH CST/CSFA (OWNER)
(815) 786-5153
Entity
Organization
Contact information
Practice address
333 MILLSTREAM LN, OSWEGO, IL 60543-8279
(815) 786-5153
Mailing address
333 MILLSTREAM LN, OSWEGO, IL 60543-8279
(815) 786-5153
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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