Individual provider Active NPI

Fred Jendo, C.S.A.

  • Surgical Assistant
  • Mount Prospect, IL
National Provider Identifier
1346581113
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
238000359 Issued in IL
Practice address
830 E Rand Rd Ste 7
Mount Prospect, IL 60056-2560
Phone
(773) 401-6715
NPI assigned
Mar 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 238000359 IL Primary

Addresses

Primary practice location

830 E Rand Rd Ste 7
Mount Prospect, IL 60056-2560

Mailing address

PO Box 217
Glenview, IL 60025-0217
Phone (773) 401-6715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
238000359ILMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northpark First Surgical, Inc. Surgical Assistant CurrentSince Jul 4, 2021 Accepting new patients
First Surgical Inc. Surgical Assistant CurrentSince Sep 28, 2021 Accepting new patients

Locations

830 E Rand Rd
Ste 7
Mount Prospect, IL 60056
Phone (773) 401-6715

350 S Northwest Hwy
Ste 300
Park Ridge, IL 60068
Phone (224) 361-3301

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1346581113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600250217",
            "telephone_number": "773-401-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E RAND RD STE 7",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562560",
            "telephone_number": "773-401-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDO",
        "first_name": "FRED",
        "credential": "C.S.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238000359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.