Sauk Valley Surgical, PC

NPI #1619192556 in Dixon, Illinois

Provider Information

NPI Number: 1619192556
Entity Type: Organization
Organization Name: Sauk Valley Surgical, PC
Primary Specialty: Surgery
Enumeration Date: Apr 16, 2007
Last Updated: Mar 4, 2010

Practice Location

Address: 102 S HENNEPIN AVE
Address 2: SUITE 120
City: Dixon
State: Illinois
ZIP Code: 61021-3083
Phone: (815) 288-1052

Authorized Official

Name: JAQUELYNE K NAYLOR, LPN
Title: OFFICE MANAGER
Phone: (815) 288-1052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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