Organization
MIDWEST SURGICAL PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSKO MIRJANIC RSA (CEO/PRESIDENT)
(219) 682-8268
Entity
Organization
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(219) 682-8268
(219) 865-8339
Mailing address
133 HOLLY LN, SCHERERVILLE, IN 46375-1177
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000482
IL
Other
Enumeration date
08/16/2017
Last updated
05/10/2024
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