Lincoln Way Surgical Assistants Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LINCOLN WAY SURGICAL ASSISTANTS INC

Practice address

19015 S Jodi Rd
Mokena, IL 60448-8514

Phone

(708) 995-5418

NPI assigned

Mar 31, 2020

Organization subpart

No

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

Authorized official

Name

Thomas Kirk

Title

Chief Executive Officer

Phone

(832) 804-8703

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Troy Metz

  • Surgical Physician Assistant
  • Mokena, IL
  • NPI 1811436132
  NPD
• Juan Noguera, RSA

  • Surgical Physician Assistant
  • Mokena, IL
  • NPI 1063398071
  NPD

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1891323200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15774 S LA GRANGE RD # 131",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624766",
            "fax_number": "832-804-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19015 S JODI RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488514",
            "telephone_number": "708-995-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN WAY SURGICAL ASSISTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "832-804-8703"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lets Talk
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• Julie Limon, MD
• Alexander L Lin, MD
• Lincoln Way Family Dental, P.C.
• Danielle Linn, DPT
• Little Talkers Inc.
• Livestrong Medical PLLC
• Livin' Free Therapy, LLC
• Jalinia Logan, LCSW

• Specialist in Mokena, IL
• Providers in Mokena, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.