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Organization

ASHTREE SURGICAL ASSISTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARYL KEITH LEMICK RN,CNOR,CRNFA (PRESIDENT)
(630) 883-0815
Entity
Organization

Contact information

Practice address
684 S BARRINGTON RD, # 155, STREAMWOOD, IL 60107-1841
(630) 883-0815
(630) 213-8770
Mailing address
684 S BARRINGTON RD, # 155, STREAMWOOD, IL 60107-1841
(630) 883-0815
(630) 213-8770

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
41254043
IL

Other

Enumeration date
08/07/2007
Last updated
04/01/2011
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