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FRED JENDO C.S.A. NPI 1346581113


NPI Information

NPI: 1346581113
Provider Name: FRED JENDO, C.S.A.
Classification: Specialist/Technologist, Other - 246ZC0007X
Entity Type: Individual

Specialization: Surgical Assistant

PECOS Registration: Yes

Address:
7427 TRIPP AVE
SKOKIE, IL
ZIP 60076
Phone: (773) 401-6715
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Fred Jendo, C.S.A. is a surgical assistant specialist technologist other in Skokie, IL. The provider is 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. Fred Jendo, C.S.A. NPI is 1346581113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7427 TRIPP AVE
SKOKIE, IL
ZIP 60076-809
Phone: (773) 401-6715

The NPI 1346581113 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 3/4/2013 and was last updated on 6/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246ZC0007XSpecialist/Technologist, OtherSurgical Assistant238000359ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.