Organization
STAT SURGICAL ASSIST
Active
Other names
STAT-SA
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL ESPINAL (PRESIDENT)
(708) 824-7828
Entity
Organization
Contact information
Practice address
2611 W CRYSTAL ST, CHICAGO, IL 60622-2813
(708) 824-7828
Mailing address
PO BOX 221300, CHICAGO, IL 60622-0040
(708) 824-7828
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000223
IL
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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