Provider Demographics
NPI:1861985889
Name:SAAI PROFESSIONAL SURGICAL SERVICES, LTD
Entity type:Organization
Organization Name:SAAI PROFESSIONAL SURGICAL SERVICES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SSAAI
Authorized Official - Suffix:
Authorized Official - Credentials:RSA
Authorized Official - Phone:312-841-1060
Mailing Address - Street 1:6021 BLODGETT AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-2009
Mailing Address - Country:US
Mailing Address - Phone:312-841-1060
Mailing Address - Fax:312-841-1060
Practice Address - Street 1:6021 BLODGETT AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-2009
Practice Address - Country:US
Practice Address - Phone:312-841-1060
Practice Address - Fax:312-841-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238000386363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty