Organization
OG SURGICAL ASSISTANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OKSANA GOVDYAK RSA (OWNER)
(847) 873-6203
Entity
Organization
Contact information
Practice address
502 MAIN ST, MARSEILLES, IL 61341-1419
(815) 513-3654
Mailing address
728 N LAKESIDE DR, VERNON HILLS, IL 60061-2614
(847) 873-6203
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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