SHAVON PETTIES CST, CSFA
NPI 1992477897
Specialist/Technologist, Other - Surgical Assistant in Westmont, IL

Q: What is Shavon Petties's NPI number?

The NPI number for Shavon Petties is 1992477897. It was assigned to this individual provider in the NPPES registry on September 29, 2021. The provider is also known as Shavon Harshaw Csfa.

Q: What is Shavon Petties's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Shavon Petties was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since September 29, 2021

815 PASQUINELLI DR, WESTMONT, IL 60559(630) 654-2515(630) 654-2516 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Feb 23, 2022, Jan 6, 2022 and 2 more (5 updates tracked since 2021).

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About Shavon Petties Cst, Csfa NPPES

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

SHAVON PETTIES CST, CSFA (NPI 1992477897) is an individual surgical assistant in Westmont, Illinois, licensed in Illinois (238-000744) and active in the NPI registry since September 2021. She maintains a secondary practice location in Schaumburg.

NPPES Registry Identity

NPI1992477897

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameSHAVON PETTIESCredential: CST, CSFA

Location Address815 PASQUINELLI DRWestmont, IL 60559-1276

Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200

Phone(630) 654-2515

Fax(630) 654-2516

Sole ProprietorNo

Enumeration DateSeptember 29, 2021

Last NPPES UpdateJune 11, 20265 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1992477897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in IL · 238-000744

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

815 PASQUINELLI DR, Westmont, IL 60559

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Other Names 1

Former Name (1)Shavon Harshaw Csfa

Secondary Practice Location 1

Location 1929 W Higgins RdSchaumburg, IL 60195-3203 · Phone (847) 285-4200 · Fax (847) 885-0130

Other Identifiers 1

Other238.000744IL · State Of Il Surgical Assistant License

Other Providers at the Same Location NPPES 20

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

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