Healthcare Provider Details

I. General information

NPI: 1619242559
Provider Name (Legal Business Name): JAMES EDWARD PRESSLEY II CSA,RSA,F-OS,MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2012
Last Update Date: 12/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28W767 LEVERENZ RD # 7
NAPERVILLE IL
60564-8969
US

IV. Provider business mailing address

PO BOX 9103
NAPERVILLE IL
60567-0103
US

V. Phone/Fax

Practice location:
  • Phone: 815-483-4632
  • Fax:
Mailing address:
  • Phone: 815-483-4632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number239000326
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number239000326
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: