Organization
SKY SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOGESH SUTRAVE (OWNER)
(920) 378-9266
Entity
Organization
Contact information
Practice address
6743 S POINTE DR UNIT 3C, TINLEY PARK, IL 60477-6291
(920) 378-9266
Mailing address
PO BOX 523, TINLEY PARK, IL 60477-0523
(920) 378-9266
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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