# SURGICAL PARTNERS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Broad Enterprises, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861770182
- **Authorized official:** DR. YASER A MAKSOUD M.D. (PRESIDENT AND CEO)
- **Authorized official phone:** (312) 731-4949

## Contact information

- **Practice address:** 4440 W 95TH ST, ADVOCATE MEDICAL GROUP - SURGICAL PARTNERS, OAK LAWN, IL 60453-2600
- **Practice address phone:** (312) 731-4949
- **Mailing address:** PO BOX 437, SURGICAL PARTNERS, CHICAGO RIDGE, IL 60415-0437
- **Mailing address phone:** (312) 731-4949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 238.000220 | IL | Yes |

## Other

- **Enumeration date:** 08/03/2011
- **Last updated:** 08/03/2011