Organization
YOUR EXTRA HANDS SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIKKI FALLS (MANAGING DIRECTOR)
(309) 846-4716
Entity
Organization
Contact information
Practice address
1604 VISA DR., STE. 2, NORMAL, IL 61761
(309) 846-4716
(309) 454-7348
Mailing address
1604 VISA DR STE 1, NORMAL, IL 61761-2195
(309) 846-4716
(309) 454-7348
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
10/19/2018
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