# ELITE SURGICAL LLC

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

## Provider details

- **NPI number:** 1699619007
- **Authorized official:** AUTUMN LAWSON LSA (OWNER)
- **Authorized official phone:** (815) 716-1822

## Contact information

- **Practice address:** 24005 S KEITH ALLEN DR, ELWOOD, IL 60421-9303
- **Practice address phone:** (815) 716-1822
- **Mailing address:** 21200 S LAGRANGE RD \# 322, FRANKFORT, IL 60423-2003
- **Mailing address phone:** (708) 571-0398
- **Mailing address fax:** (844) 427-2845

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2026
- **Last updated:** 04/16/2026