Healthcare Provider Details

I. General information

NPI: 1801916762
Provider Name (Legal Business Name): FIRST SURGICAL ASSISTANTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2007
Last Update Date: 06/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 S DUNTON AVE
ARLINGTON HEIGHTS IL
60005-1402
US

IV. Provider business mailing address

16 S DUNTON AVE
ARLINGTON HEIGHTS IL
60005-1402
US

V. Phone/Fax

Practice location:
  • Phone: 847-392-8800
  • Fax: 847-253-9129
Mailing address:
  • Phone: 847-392-8800
  • Fax: 847-253-9129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE F CZARNECKI
Title or Position: PRESIDENT
Credential: RSA
Phone: 847-392-8800