Provider Demographics
NPI:1598805970
Name:SURGICAL ASSISTANT SOLUTIONS, INC
Entity Type:Organization
Organization Name:SURGICAL ASSISTANT SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CULVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-291-4185
Mailing Address - Street 1:956 S BARTLETT RD
Mailing Address - Street 2:SUITE 168
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-6500
Mailing Address - Country:US
Mailing Address - Phone:630-524-9144
Mailing Address - Fax:630-855-4841
Practice Address - Street 1:956 S BARTLETT RD
Practice Address - Street 2:SUITE 168
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-6500
Practice Address - Country:US
Practice Address - Phone:630-524-9144
Practice Address - Fax:630-855-4841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WR0006X, 163WR0006X, 163WR0006X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02233037OtherBLUE CROSS BLUE SHIELD IL