Organization
ADVANTAGE SURGICAL ASSISTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL HAYES RSA (REGISTERED SURGICAL ASSISTANT)
(630) 421-1191
Entity
Organization
Contact information
Practice address
222 PADDINGTON LN, BOLINGBROOK, IL 60440-4533
(630) 421-1191
(630) 364-2619
Mailing address
PO BOX 1811, BOLINGBROOK, IL 60440-7534
(630) 421-1191
(630) 364-2619
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000042
IL
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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