Organization
ASSIST ONE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD GONZALES CSFA (OWNER)
(708) 705-3772
Entity
Organization
Contact information
Practice address
2426 OLD TAVERN RD, LISLE, IL 60532-3623
(708) 705-3772
Mailing address
2426 OLD TAVERN RD, LISLE, IL 60532-3623
(708) 705-3772
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238-000536
IL
Other
Enumeration date
04/12/2018
Last updated
05/02/2018
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