United Suburban Surgical Assistance

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

UNITED SUBURBAN SURGICAL ASSISTANCE

Practice address

3104 S.Clarence Ave.
Berwyn, IL 60402

Phone

(708) 393-6431

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Yuriy Serembytsky

Title

Surgical Assistant

Phone

(708) 393-6431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1952597577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 S.CLARENCE AVE.",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-393-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 S.CLARENCE AVE.",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-393-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUBURBAN SURGICAL ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "SEREMBYTSKY",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "708-393-6431"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Trujillo
• Michelle Tucker
• Uic Cancer Center at Macneal
• Monica Umlauf, MSW,LCSW
• Charles Emeka Umunna, M.D.
• Constance Upton, LCSW
• Veronica Valadez, APN
• Eduardo Valdivia
• Jessica Valencia, MSW
• Elsa Valero, MD

• Surgical Physician Assistant in Berwyn, IL
• Providers in Berwyn, 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 Sep 18, 2007; 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.