Organization
ELITE SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANGELA ROBERSON SAC (OWNER)
(708) 439-0652
Entity
Organization
Contact information
Practice address
1212 N LASALLE DR, APT 1902, CHICAGO, IL 60610
(773) 317-4888
Mailing address
1212 N LASALLE DR, APT 1902, CHICAGO, IL 60610
(773) 317-4888
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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