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Organization

SURGICAL ASSISTANTS OF CHICAGO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN RUOF (CEO)
(708) 487-6556
Entity
Organization

Contact information

Practice address
6640 S KOMENSKY AVE APT 1, CHICAGO, IL 60629-5155
(708) 487-6556
(708) 933-3470
Mailing address
6640 S KOMENSKY AVE APT 1, CHICAGO, IL 60629-5155
(708) 487-6556
(708) 933-3470

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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