Organization
N.T. SURGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYLAN MIYAT (CERTIFIED SURGICAL FIRST ASSISTANT)
(309) 530-3407
Entity
Organization
Contact information
Practice address
1713 N CAMPBELL AVE APT G, CHICAGO, IL 60647-6718
(309) 530-3407
Mailing address
1713 N CAMPBELL AVE APT G, CHICAGO, IL 60647-6718
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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