Epic Surgical Solution Company
Organization Active NPI Contractor · Lisle, IL
NPI 1821318643 · NPPES record last updated Jun 3, 2010
Key facts
- NPI
- 1821318643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Contractor 171W00000X
- License
- 238000232 (IL)
- Legal business name
- EPIC SURGICAL SOLUTION COMPANY
- Practice address
- 5885 Forest View Rd
Lisle, IL 60532-2900 - Phone
- (931) 215-1574
- Fax
- (866) 535-5342
- NPI assigned
- Jun 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Wallace Laray Vinson, RSA
- Title
- Registered Surgical Assistant
- Phone
- (931) 215-1574
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | 238000232 | IL | Yes |
| Contractor |
171W00000X | 238000042 | IL |
Addresses
Primary practice location
5885 Forest View Rd
Lisle, IL 60532-2900
Mailing address
P.O. Box 1416
Bolingbrook, IL 60440
Phone (931) 215-1574
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881775880 | Other | IL | NPI |
| 1235360959 | Other | IL | NPI |
Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.