OrganizationActive
Surgical Assistant Innovations, LLC
NPI 1972843175 · Registered Nurse First Assistant · Fox Lake, IL
Provider details
- NPI number
- 1972843175
- Entity type
- Organization
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Organization subpart
- No
- Authorized official
- Dale Vladic, President(708) 790-7333
- License
- 041.258819 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
1236 Shagbark Ct
Fox Lake, IL 60020-0806
Phone: (708) 790-7333
Approximate (ZIP-level) locationGet directions
Mailing address
1236 Shagbark Ct
Fox Lake, IL 60020-0806
Registry dates
- Enumerated
- 2013-02-25
- Last updated
- 2015-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.