Provider Demographics
NPI:1598002735
Name:EPIC SURGICAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:EPIC SURGICAL SOLUTIONS LLC
Other - Org Name:EPIC SURGICAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPB
Authorized Official - Phone:630-754-7760
Mailing Address - Street 1:260 S SCHMIDT RD STE G
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-3087
Mailing Address - Country:US
Mailing Address - Phone:630-754-7760
Mailing Address - Fax:630-754-7761
Practice Address - Street 1:260 S SCHMIDT RD STE G
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-3087
Practice Address - Country:US
Practice Address - Phone:630-754-7760
Practice Address - Fax:630-754-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty