Organization
MINNIHAN SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES MINNIHAN CSFA (OWNER)
(630) 898-9447
Entity
Organization
Contact information
Practice address
2201 SCHRADER LN, NORTH AURORA, IL 60542-2128
(630) 898-9447
Mailing address
PO BOX 364, NORTH AURORA, IL 60542-0137
(630) 898-9447
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000109
IL
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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