SURGICAL PARTNERS NPI 1861770182

NPI Information

  • NPI: 1861770182
  • Provider Name: SURGICAL PARTNERS
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Other Name: BROAD ENTERPRISES, INC.
  • Address: 4440 W 95TH ST
    ADVOCATE MEDICAL GROUP - SURGICAL PARTNERS
    OAK LAWN, IL
    ZIP 60453
  • Phone: (312) 731-4949

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NPI Details

SURGICAL PARTNERS is a surgical physician assistant in Oak Lawn, IL. SURGICAL PARTNERS NPI is 1861770182. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Broad Enterprises, Inc..

The provider's business location address is:

4440 W 95TH ST
ADVOCATE MEDICAL GROUP - SURGICAL PARTNERS
OAK LAWN, IL
ZIP 60453-600
Phone: (312) 731-4949

The provider's authorized official is Yaser A Maksoud .
The authorized official title is President And Ceo and has the following contact phone number (312) 731-4949.

The enumeration date for this NPI number is 8/3/2011 and was last updated on 8/3/2011.

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 AssistantSurgical238.000220ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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