Organization
SKYLINE SURGICAL ASSISTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ETOI FARLEY (OWNER)
(815) 997-3568
Entity
Organization
Contact information
Practice address
2508 REFLECTIONS DR, CREST HILL, IL 60403-1777
(815) 997-3487
Mailing address
PO BOX 2912, JOLIET, IL 60434-2912
(815) 997-3487
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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