# LINCOLNWAY SURGICAL ASSISTANTS L.L.C.

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

## Provider details

- **NPI number:** 1376215343
- **Authorized official:** SHUXIA JIANG PH.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (507) 383-3279

## Contact information

- **Practice address:** 624 LILAS CT, NEW LENOX, IL 60451-3453
- **Practice address phone:** (507) 383-3279
- **Mailing address:** 624 LILAS CT, NEW LENOX, IL 60451-3453
- **Mailing address phone:** (507) 383-3279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZC0007X | Surgical Assistant | — | NULL | — |
| 246ZC0007X | Surgical Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2021
- **Last updated:** 09/29/2021