Certified Surgical Assistant, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

CERTIFIED SURGICAL ASSISTANT, LLC

Practice address

742 Glenside Cir
Bolingbrook, IL 60490-5494

Phone

(630) 854-5229

NPI assigned

Feb 26, 2024

Last updated

Feb 26, 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

Eleanor PagulayanNPI 1326286030

Title

Owner

Phone

(630) 854-5229

Specialties & licenses 1

Addresses

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.

• Eleanor Pagulayan, SA-C, RSA

  • Surgical Physician Assistant
  • Bolingbrook, IL
  • NPI 1326286030
  NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1407612559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 GLENSIDE CIR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905494",
            "telephone_number": "630-854-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 GLENSIDE CIR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905494",
            "telephone_number": "630-854-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED SURGICAL ASSISTANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "PAGULAYAN",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-854-5229"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna J Carter, MSW, LCSW
• Ines M Casey, M.D.
• Patricia Victoria D. Castro- Ladra, P.T.
• Chanda Catchings
• Center of Attention Counseling Services, LLC
• Hyo Joon Cha, FNP
• Justin Chacko, MD
• Kathleen Chambers, NP
• Ramon Chavez Jr., PHARMD
• Chicagoland Pain Management Institute, Inc.

• Surgical Physician Assistant in Bolingbrook, IL
• Providers in Bolingbrook, 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 Feb 26, 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.