# SURGICAL ASSISTANT INNOVATIONS, LLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972843175
- **Authorized official:** MR. DALE VLADIC CRNFA (PRESIDENT)
- **Authorized official phone:** (708) 790-7333

## Contact information

- **Practice address:** 1236 SHAGBARK CT, FOX LAKE, IL 60020-0806
- **Practice address phone:** (708) 790-7333
- **Mailing address:** 1236 SHAGBARK CT, FOX LAKE, IL 60020-0806
- **Mailing address phone:** (708) 790-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 041.258819 | IL | Yes |

## Other

- **Enumeration date:** 02/25/2013
- **Last updated:** 10/14/2015