Provider Demographics
NPI:1083885784
Name:TOTAL BODY SURGICAL ASSISTANTS INC
Entity Type:Organization
Organization Name:TOTAL BODY SURGICAL ASSISTANTS INC
Other - Org Name:TBSA CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-353-0117
Mailing Address - Street 1:4911 RFD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LONG GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60047-8227
Mailing Address - Country:US
Mailing Address - Phone:815-353-0117
Mailing Address - Fax:888-841-8140
Practice Address - Street 1:4911 RFD
Practice Address - Street 2:SUITE 200
Practice Address - City:LONG GROVE
Practice Address - State:IL
Practice Address - Zip Code:60047-8227
Practice Address - Country:US
Practice Address - Phone:815-353-0117
Practice Address - Fax:888-841-8140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare