Provider Demographics
NPI:1699400200
Name:ACCURATE SURGICAL ASSIST
Entity Type:Organization
Organization Name:ACCURATE SURGICAL ASSIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA CARMICHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:RADOVAN GADDI
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:630-253-5562
Mailing Address - Street 1:1261 ANTIGO TRL
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-9043
Mailing Address - Country:US
Mailing Address - Phone:163-025-3556
Mailing Address - Fax:
Practice Address - Street 1:1261 ANTIGO TRL
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-9043
Practice Address - Country:US
Practice Address - Phone:630-253-5562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty