Provider Demographics
NPI:1982899340
Name:I CARE SURGICAL ASSISTANCE INC.
Entity Type:Organization
Organization Name:I CARE SURGICAL ASSISTANCE INC.
Other - Org Name:WILLIAM PRICE RSA
Other - Org Type:Other Name
Authorized Official - Title/Position:REGISTERED SURGICAL ASSISTANT- CERT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:RSA
Authorized Official - Phone:847-917-3666
Mailing Address - Street 1:PO BOX 448
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-0448
Mailing Address - Country:US
Mailing Address - Phone:847-917-3666
Mailing Address - Fax:888-370-3138
Practice Address - Street 1:1587 LANCELOT AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2218
Practice Address - Country:US
Practice Address - Phone:847-917-3666
Practice Address - Fax:888-370-3138
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:I CARE SURGICAL ASSISTANCE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238.000016246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty