Organization
SURGICAL ASSISTANT INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE VLADIC CRNFA (PRESIDENT)
(708) 790-7333
Entity
Organization
Contact information
Practice address
1236 SHAGBARK CT, FOX LAKE, IL 60020-0806
(708) 790-7333
Mailing address
1236 SHAGBARK CT, FOX LAKE, IL 60020-0806
(708) 790-7333
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041.258819
IL
Other
Enumeration date
02/25/2013
Last updated
10/14/2015
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