MR. RAED ABDALLAH RTAIL SA-C RSA NPI 1124392964

NPI Information

  • NPI: 1124392964
  • Provider Name: MR. RAED ABDALLAH RTAIL, SA-C, RSA
  • Classification: Specialist/Technologist, Other - 246ZC0007X
  • Specialization: Surgical Assistant
  • Entity Type: Individual
  • Address: 114 W ROCKLAND RD
    LIBERTYVILLE, IL
    ZIP 60048
  • Phone: (847) 353-8802

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NPI Details

MR. Raed Abdallah Rtail, SA-C, RSA is a surgical assistant specialist technologist other in Libertyville, 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. MR. Raed Abdallah Rtail, SA-C, RSA NPI is 1124392964. 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:

114 W ROCKLAND RD
LIBERTYVILLE, IL
ZIP 60048-774
Phone: (847) 353-8802
Fax: (847) 353-8812

The enumeration date for this NPI number is 2/24/2012 and was last updated on 2/24/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZS0400X238000322ILLINOISNo
2246ZC0007XSpecialist/Technologist, OtherSurgical Assistant238000322ILLINOISYes

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: 11/21/2025

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