Organization
PREMIER SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VERA M.D. (OWNER)
(708) 349-0055
Entity
Organization
Contact information
Practice address
7 CLEARVIEW CT, LEMONT, IL 60439-8739
(708) 349-0055
Mailing address
10660 W 143RD ST STE B, ORLAND PARK, IL 60462-1989
(708) 349-0055
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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