Premier Surgical Services Inc.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

PREMIER SURGICAL SERVICES INC.

Doing business as

Autumn Lawson
Christopher Limon

Practice address

6117 Oldcreek LN
Joliet, IL 60431-5337

Phone

(815) 592-4178

NPI assigned

Dec 19, 2024

Last updated

Dec 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Limon, CSFANPI 1134708654

Title

Certified Surgical First Assistant

Phone

(815) 592-4178

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Autumn Lawson Doing business as
• Christopher Limon Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Limon, CSFA

  • Surgical Physician Assistant
  • Joliet, IL
  • NPI 1134708654
  NPD Authorized official

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1205644457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 OLDCREEK LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604315337",
            "telephone_number": "815-592-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 OLDCREEK LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604315337",
            "telephone_number": "815-592-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "LIMON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL FIRST ASSISTANT",
        "authorized_official_telephone_number": "815-592-4178",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363AS0400X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Lawson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Christopher Limon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgical Physician Assistant in Joliet, IL
• Providers in Joliet, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.