Provider Demographics
NPI:1033819370
Name:SURGICAL ASSISTANTS OF CHICAGO LLC
Entity Type:Organization
Organization Name:SURGICAL ASSISTANTS OF CHICAGO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUOF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-487-6556
Mailing Address - Street 1:6640 S KOMENSKY AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-5155
Mailing Address - Country:US
Mailing Address - Phone:708-487-6556
Mailing Address - Fax:708-933-3470
Practice Address - Street 1:6640 S KOMENSKY AVE APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-5155
Practice Address - Country:US
Practice Address - Phone:708-487-6556
Practice Address - Fax:708-933-3470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital