Organization
NORTHPARK FIRST SURGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED JENDO SA-C (CFO)
(773) 401-6715
Entity
Organization
Contact information
Practice address
7427 TRIPP AVE, SKOKIE, IL 60076-3809
(847) 656-5245
Mailing address
PO BOX 109, SKOKIE, IL 60076-0109
(847) 656-5245
(847) 656-5201
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/31/2012
Last updated
06/28/2021
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