Delijan Surgical Assistants, Inc.

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

DELIJAN SURGICAL ASSISTANTS, INC.

Practice address

101 Royce Road
Suite 5
Bolingbrook, IL 60440-1458

Phone

(630) 759-9070

Fax

(630) 759-9067

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nasser Tavakoly, RCSANPI 1205052529

Title

President

Phone

(630) 759-9070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nasser Tavakoly, RCSA

  • Surgical Technologist
  • Bolingbrook, IL
  • NPI 1205052529
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497971709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 9274",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605679274",
            "telephone_number": "630-759-9070",
            "fax_number": "630-759-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROYCE ROAD",
            "address_2": "SUITE 5",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401458",
            "telephone_number": "630-759-9070",
            "fax_number": "630-759-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIJAN SURGICAL ASSISTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAVAKOLY",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-759-9070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCSA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Deangelis, MHS, CCC-SLP/L
• Ashley Decraene
• Deepa Sridhar P.C
• Abalaine Delapena, PHARM.D.
• Ryan Delcambre, DPT
• Deliverrx LLC
• Sophia Deltoro, D.O
• Julie Ann Deluca, RDH
• Sabrina Demski, DPT
• Samantha Dench, DFM

• Surgical Technologist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Surgical Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.