IndividualActive
Mensa Muata, RSA
NPI 1659586477 · Surgical Technologist · Bourbonnais, IL
Provider details
- NPI number
- 1659586477
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RSA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
750 Almar Pkwy
Suite 205
Bourbonnais, IL 60914-2315
Phone: (815) 933-3955
Fax: (815) 933-3944
Approximate (ZIP-level) locationGet directions
Mailing address
731 Double Jack St
Bourbonnais, IL 60914-9214
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.