Lincoln Way Surgical Assistants INC

NPI #1891323200 in Mokena, Illinois

Provider Information

NPI Number: 1891323200
Entity Type: Organization
Organization Name: Lincoln Way Surgical Assistants INC
Primary Specialty: Specialist
Enumeration Date: Mar 31, 2020
Last Updated: Jun 28, 2021

Practice Location

Address: 19015 S JODI RD
City: Mokena
State: Illinois
ZIP Code: 60448-8514
Phone: (708) 995-5418

Authorized Official

Name: THOMAS KIRK
Title: CHIEF EXECUTIVE OFFICER
Phone: (832) 804-8703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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