MEDICARE: STAT SURGICAL ASSIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant	238.000223	IL

General Provider Information

NPI Number	:	1386975514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAT SURGICAL ASSIST

Provider Business Mailing Address
First Line	:	PO BOX 221300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-0040
Country	:	US
Telephone Number	:	708-824-7828
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 W CRYSTAL ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-2813
Country	:	US
Telephone Number	:	708-824-7828
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MIGUEL ESPINAL
Credential	:
Telephone Number	:	708-824-7828

Provider Enumeration Date	:	01/28/2010
Last Update Date	:	01/28/2010

Similar Medicare Providers

1700941176 — DR. AMAL K MUKHERJEE M.D
Practice Location Address:

4101 N WESTERN AVE
CHICAGO, IL
60618-2813

Practice Phone: 773-583-5558
Practice Fax: 773-583-0221

1427224286 — THE COMPREHENSIVE KOREAN SELF-HELP COMMUNITY CENTER
Practice Location Address:

4934 N PULASKI RD
CHICAGO, IL
60630-2813

Practice Phone: 773-545-8348
Practice Fax: 773-545-0054

1154561306 — ROBERT HAROLD DARGEL MSW, LCSW, CEAP
Practice Location Address:

2547 W GUNNISON ST , FLOOR 2
CHICAGO, IL
60625-2813

Practice Phone: 773-841-6450
Practice Fax: 773-728-1990

1508183583 — THE WOMEN INSTITUTE SC
Practice Location Address:

4101 N WESTERN AVE
CHICAGO, IL
60618-2813

Practice Phone: 773-382-1224
Practice Fax: 773-362-1085

1417438169 — COMMUNITY CARE CLINICS OF MINNESOTA
Practice Location Address:

2015 CHICAGO AVE
MINNEAPOLIS, MN
55404-2813

Practice Phone: 952-228-0420
Practice Fax: 612-345-4191

1225511124 — YEHUDA DAVID APPEL SLP
Practice Location Address:

2813 W MORSE AVE
CHICAGO, IL
60645-2929

Practice Phone: 773-505-1113
Practice Fax:

Directions to “STAT SURGICAL ASSIST ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.