Individual
EYAL GINESIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
1010 EXECUTIVE DR STE 250, WESTMONT, IL 60559-6137
(630) 920-2350
(630) 794-8620
Mailing address
1010 EXECUTIVE DR STE 250, WESTMONT, IL 60559-6137
(630) 920-2350
(630) 794-8620
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
PENDING
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
ILLINOIS SURGICAL ASSISTANT LICENSE
IL
Enumeration date
03/06/2019
Last updated
03/06/2019
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