Healthcare Provider Details

I. General information

NPI: 1992476881
Provider Name (Legal Business Name): FIRST SURGICAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 E RAND RD STE 7
MOUNT PROSPECT IL
60056-2560
US

IV. Provider business mailing address

PO BOX 217
GLENVIEW IL
60025-0217
US

V. Phone/Fax

Practice location:
  • Phone: 847-656-5245
  • Fax:
Mailing address:
  • Phone: 847-656-5245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: FRED JENDO
Title or Position: CEO
Credential: C-SA
Phone: 773-401-6715