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ILLINI SURGICAL ASSOCIATES, INC
NPI 1437231446
Physician Assistant - Surgical in Woodridge, IL

Active since October 19, 2006
6809 ARMSTRONG CT, WOODRIDGE, IL 60517(630) 795-1855(630) 795-1844 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Illini Surgical Associates, Inc NPPES

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

ILLINI SURGICAL ASSOCIATES, INC (NPI 1437231446) is a healthcare organization registered as a surgical in Woodridge, Illinois and active in the NPI registry since October 2006. The organization lists Keith Allen Penrod, President, as its authorized official.

NPPES Registry Identity

NPI1437231446
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameILLINI SURGICAL ASSOCIATES, INC
Location Address6809 ARMSTRONG CTWoodridge, IL 60517-1526
Mailing AddressPo Box 5306Woodridge, IL 60517-0306 · (630) 795-1855 · Fax (630) 795-1844
Phone(630) 795-1855
Fax(630) 795-1844
Organization SubpartNo
Authorized OfficialKeith Allen PenrodPresident · (630) 795-1855
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 29, 2007
✔ NPI 1437231446 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
6809 ARMSTRONG CT, Woodridge, IL 60517
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Illini Surgical Associates, Inc's NPI number?

The NPI number for Illini Surgical Associates, Inc is 1437231446. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Illini Surgical Associates, Inc located?

Illini Surgical Associates, Inc is located at 6809 Armstrong Ct, Woodridge, IL 60517. The listed phone number is (630) 795-1855.

What is Illini Surgical Associates, Inc'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 Illini Surgical Associates, Inc was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.