Organization
LITTLE EGYPT SURGICAL ASSISTING L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENISE RENAE SONS RN,CNOR,CRNFA (CERT. REG. NURSE FIRST ASSISTANT)
(618) 237-8770
Entity
Organization
Contact information
Practice address
1207 N 1ST ST, BOX721, FAIRFIELD, IL 62837-2466
(618) 237-8770
(618) 847-4206
Mailing address
1207 N 1ST ST, BOX721, FAIRFIELD, IL 62837-2466
(618) 237-8770
(618) 847-4206
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0041-282852
IL
Other
Enumeration date
04/16/2007
Last updated
06/21/2018
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