Provider Demographics
NPI:1962989848
Name:UNITED SURGICAL PROFESSIONALS LLC
Entity type:Organization
Organization Name:UNITED SURGICAL PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:IMRAN
Authorized Official - Last Name:ARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:CSA, RSA
Authorized Official - Phone:630-290-2016
Mailing Address - Street 1:145 RUMSEY PL
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-2650
Mailing Address - Country:US
Mailing Address - Phone:630-290-2016
Mailing Address - Fax:
Practice Address - Street 1:145 RUMSEY PL
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-2650
Practice Address - Country:US
Practice Address - Phone:630-290-2016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty