CERTIFIED SURGICAL ASSISTANT, LLC
NPI 1407612559
Physician Assistant - Surgical in Bolingbrook, IL

Q: What is Certified Surgical Assistant, LLC's NPI number?

The NPI number for Certified Surgical Assistant, LLC is 1407612559. It was assigned to this organization in the NPPES registry on February 26, 2024.

Q: What is Certified Surgical Assistant, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since February 26, 2024

742 GLENSIDE CIR, BOLINGBROOK, IL 60490(630) 854-5229 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Certified Surgical Assistant, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CERTIFIED SURGICAL ASSISTANT, LLC (NPI 1407612559) is a healthcare organization registered as a surgical in Bolingbrook, Illinois and active in the NPI registry since February 2024. The organization lists Eleanor Pagulayan, Owner, as its authorized official.

NPPES Registry Identity

NPI1407612559

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameCERTIFIED SURGICAL ASSISTANT, LLC

Location Address742 GLENSIDE CIRBolingbrook, IL 60490-5494

Mailing Address742 Glenside CirBolingbrook, IL 60490-5494 · (630) 854-5229

Phone(630) 854-5229

Organization SubpartNo

Authorized OfficialEleanor PagulayanOwner · (630) 854-5229

Enumeration DateFebruary 26, 2024

NPPES CertifiedFebruary 26, 2024

✔ NPI 1407612559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

742 GLENSIDE CIR, Bolingbrook, IL 60490

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELEANOR PAGULAYAN SA-C, RSA

Physician Assistant (Surgical)

742 GLENSIDE CIR
BOLINGBROOK, IL 60490

Will County (630) 854-5229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Certified Surgical Assistant, LLC's NPI number?

The NPI number for Certified Surgical Assistant, LLC is 1407612559. It was assigned to this organization in the NPPES registry on February 26, 2024.

Where is Certified Surgical Assistant, LLC located?

Certified Surgical Assistant, LLC is located at 742 Glenside Cir, Bolingbrook, IL 60490. The listed phone number is (630) 854-5229.

What is Certified Surgical Assistant, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Certified Surgical Assistant, LLC was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.