Organization
CERTIFIED SURGICAL ASSISTANT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR PAGULAYAN (OWNER)
(630) 854-5229
Entity
Organization
Contact information
Practice address
742 GLENSIDE CIR, BOLINGBROOK, IL 60490-5494
(630) 854-5229
Mailing address
742 GLENSIDE CIR, BOLINGBROOK, IL 60490-5494
(630) 854-5229
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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