Provider Demographics
NPI:1326286030
Name:PAGULAYAN, ELEANOR (SA-C, RSA)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:
Last Name:PAGULAYAN
Suffix:
Gender:F
Credentials:SA-C, RSA
Other - Prefix:
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Mailing Address - Street 1:742 GLENSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5494
Mailing Address - Country:US
Mailing Address - Phone:630-854-5229
Mailing Address - Fax:630-887-1668
Practice Address - Street 1:742 GLENSIDE CIR
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-5494
Practice Address - Country:US
Practice Address - Phone:630-854-5229
Practice Address - Fax:630-887-1668
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical