Organization
UNITED SUBURBAN SURGICAL ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY SEREMBYTSKY (SURGICAL ASSISTANT)
(708) 393-6431
Entity
Organization
Contact information
Practice address
3104 S.CLARENCE AVE., BERWYN, IL 60402
(708) 393-6431
Mailing address
3104 S.CLARENCE AVE., BERWYN, IL 60402
(708) 393-6431
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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