Provider Demographics
NPI:1336469113
Name:CENTRAL SURGICAL ASSISTANTS LLC
Entity Type:Organization
Organization Name:CENTRAL SURGICAL ASSISTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADNANUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RSA
Authorized Official - Phone:630-440-4410
Mailing Address - Street 1:22028 W LAKELAND TRL
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-6014
Mailing Address - Country:US
Mailing Address - Phone:630-440-4410
Mailing Address - Fax:815-886-6776
Practice Address - Street 1:22028 W LAKELAND TRL
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-6014
Practice Address - Country:US
Practice Address - Phone:630-440-4410
Practice Address - Fax:815-886-6776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238.000072246ZC0007X, 246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty