Provider Demographics
NPI:1730497876
Name:FIRST CALL SURGICAL ASSISTING INC.
Entity Type:Organization
Organization Name:FIRST CALL SURGICAL ASSISTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED SURGICAL ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:RSA-C
Authorized Official - Phone:847-525-8856
Mailing Address - Street 1:PO BOX 416
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-0416
Mailing Address - Country:US
Mailing Address - Phone:847-525-8856
Mailing Address - Fax:847-731-9909
Practice Address - Street 1:3814 HARMONY DR
Practice Address - Street 2:
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099-9549
Practice Address - Country:US
Practice Address - Phone:847-525-8856
Practice Address - Fax:847-731-9909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238.000148246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty