Provider Demographics
NPI:1013073923
Name:SURGICAL ASSISTANTS, L.L.C.
Entity Type:Organization
Organization Name:SURGICAL ASSISTANTS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:INGA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERDKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:RSA
Authorized Official - Phone:630-322-9451
Mailing Address - Street 1:4333 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-2869
Mailing Address - Country:US
Mailing Address - Phone:630-322-9451
Mailing Address - Fax:630-322-9791
Practice Address - Street 1:4333 MAIN ST
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-2869
Practice Address - Country:US
Practice Address - Phone:630-322-9451
Practice Address - Fax:630-322-9791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty