PREMIER SURGICAL SERVICES INC. NPI 1205644457

NPI Information

  • NPI: 1205644457
  • Provider Name: PREMIER SURGICAL SERVICES INC.
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 6117 OLDCREEK LN
    JOLIET, IL
    ZIP 60431
  • Phone: (815) 592-4178

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NPI Details

PREMIER SURGICAL SERVICES INC. is a surgical physician assistant in Joliet, IL. PREMIER SURGICAL SERVICES INC. NPI is 1205644457. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6117 OLDCREEK LN
JOLIET, IL
ZIP 60431-337
Phone: (815) 592-4178

The provider's authorized official is Christopher Limon .
The authorized official title is Certified Surgical First Assistant and has the following contact phone number (815) 592-4178.

The enumeration date for this NPI number is 12/19/2024 and was last updated on 12/19/2024.

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
1363AS0400XPhysician AssistantSurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1363AS0400XOTHERILLINOISTAXONOMY

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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