Organization Active NPI

Surgical Assistants, L.L.C.

  • Surgical Technologist
  • Downers Grove, IL
National Provider Identifier
1013073923
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
SURGICAL ASSISTANTS, L.L.C.
Practice address
4333 Main St
Downers Grove, IL 60515-2869
Phone
(630) 322-9451
Fax
(630) 322-9791
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Inga Ferdkoff, R.S.A.
Title
Surgical Assistant
Phone
(630) 322-9451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X Primary

Addresses

Primary practice location

4333 Main St
Downers Grove, IL 60515-2869

Mailing address

4333 Main St
Downers Grove, IL 60515-2869
Phone (630) 322-9451

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1013073923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152869",
            "telephone_number": "630-322-9451",
            "fax_number": "630-322-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152869",
            "telephone_number": "630-322-9451",
            "fax_number": "630-322-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANTS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "FERDKOFF",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "630-322-9451",
        "authorized_official_credential": "R.S.A."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.