Organization
STARSURGICAL 1 LLC
Active
Parent organization
STARSURGICAL 1 LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STARSURGICAL 1 LLC
Authorized official
MR. JOSE ESPINO RCSA (SURGICAL ASSISTANT)
(630) 330-0200
Entity
Organization
Contact information
Practice address
1325 N HIGHLAND AVE, AURORA, IL 60506-1449
(630) 859-2222
Mailing address
PO BOX 543, MONTGOMERY, IL 60538-0543
(630) 330-1761
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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