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1992910988
ENTERPRISE SURGICAL ASSISTANCE
BERWYN, IL
NPI
1992910988
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Entity Type
Organization
Authorized Contact
RANDALL DAVID OSTROFF
President
773-502-4221
Organization Subpart ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2007-05-11
Last Update Date
2009-12-08
Business Address
ENTERPRISE SURGICAL ASSISTANCE
3249 OAK PARK AVE
BERWYN, IL 60402-3429
Phone number: 708-783-7696
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Mailing Address
ENTERPRISE SURGICAL ASSISTANCE
PO BOX 56341
CHICAGO, IL 60656-0341
Phone number: 708-867-4949
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