Organization
LINCOLN WAY SURGICAL ASSISTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KIRK (CHIEF EXECUTIVE OFFICER)
(832) 804-8703
Entity
Organization
Contact information
Practice address
19015 S JODI RD, MOKENA, IL 60448-8514
(708) 995-5418
Mailing address
15774 S LA GRANGE RD # 131, ORLAND PARK, IL 60462-4766
(832) 804-8717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
06/28/2021
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