WEST SUBURBAN SURGICAL ASSISTANTS LLC (NPI# 1952949992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952949992 |
| Entity Type | Organization |
| Organization Name | WEST SUBURBAN SURGICAL ASSISTANTS LLC |
| Practice Address |
155 E Brush Hill Rd Elmhurst IL 60126-5658 |
| Mailing Address |
305 Chanticleer Ln Hinsdale IL 60521-5023 |
| Practice Telephone | 3312211000 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | GEORGE KOVESHNIKOV (OWNER) |
| Authorized Official Telephone | 7733150935 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
155 E BRUSH HILL RD |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787552 | Nakia J Mcadoo | Nurse Anesthetist, Certified Registered | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2005-08-18 |
| 1558988592 | Lisa M Nelson | Nurse Practitioner | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2020-06-25 |
| 1851916084 | Elzbieta Lebiecki | Pharmacist | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2020-06-12 |
| 1982224531 | Katherine T Heidorn-reed | Occupational Therapist | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2020-04-23 |
| 1649736174 | Mandy Jean Rueff | Nurse Anesthetist, Certified Registered | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2019-02-20 |
| 1144785544 | Anna Campbell | Specialist/Technologist, Other | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2019-02-10 |
| 1083185904 | Erin C Daley | Nurse Practitioner | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2018-12-17 |
| 1215407358 | Rosilyn Kattiyaman | Nurse Practitioner | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2018-12-02 |
| 1447746201 | Susan Obman | Nurse Practitioner | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2018-07-05 |
| 1730612797 | Natalie Behnke | Emergency Medicine | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2017-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528682275 | Alan George | Specialist/Technologist, Other | 606 N Van Auken St, Elmhurst, IL 60126-1947 | 2020-05-28 |
| 1144785544 | Anna Campbell | Specialist/Technologist, Other | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2019-02-10 |
| 1245351253 | George Koveshnikov | Specialist/Technologist, Other | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072288 | Jaime Viramontes Jr. | Specialist/Technologist, Other | 2725 Technology Dr, Lombard, IL 60148-5675 | 2020-08-06 |
| 1215545660 | Ghirri Health Care Inc | Specialist/Technologist, Other | 9101 Falcon Ridge Dr, Bridgeview, IL 60455-2608 | 2020-07-21 |
| 1649896606 | Eric Dupaya | Specialist/Technologist, Other | 6432 S Eberhart Ave, Chicago, IL 60637-3325 | 2020-06-24 |
| 1508482027 | Juan Carlos Diaz | Specialist/Technologist, Other | 1433 W Flournoy St Apt 3f, Chicago, IL 60607-3213 | 2020-06-20 |
| 1881215416 | Brianne O'leary | Specialist/Technologist, Other | 2413 Sunrise Cir, Aurora, IL 60503-6757 | 2020-05-05 |
| 1669006433 | Michael Howard Keller | Specialist/Technologist, Other | 414 Chapel St, Marengo, IL 60152-3016 | 2020-03-02 |
| 1205487543 | Muneif Abusaleh | Specialist/Technologist, Other | 10536 Forest Ln, Chicago Ridge, IL 60415-1820 | 2019-09-27 |
| 1831752773 | Bienvenido Camacho | Specialist/Technologist, Other | 7900 W Deerwood Dr, Palos Park, IL 60464-2155 | 2019-04-16 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1699258616 | Teresa Dudic | Specialist/Technologist, Other | 2622 N 77th Ct, Elmwood Park, IL 60707-1801 | 2018-09-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.