SURGIACL ASSISTINGSERVICES OF LAKE COUNTY (NPI# 1740315332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740315332 |
| Entity Type | Organization |
| Organization Name | SURGIACL ASSISTINGSERVICES OF LAKE COUNTY |
| Practice Address |
2400 N Samson Way Apt#2d Waukegan IL 60087-5079 |
| Practice Telephone | 1224399931 |
| Practice Fax Number | 2249440084 |
| Mailing Telephone | 1224399931 |
| Mailing Fax Number | 2249440084 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KIM LADELL LUSTER (SURGICAL ASSISTANT) |
| Authorized Official Telephone | 12243999317 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2400 N SAMSON WAY APT#2D |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60087-5079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396870051 | Kim Ladell Luster | Specialist/Technologist, Other | 2400 N Samson Way, Apt#2d, Waukegan, IL 60087-5079 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1114412160 | David B Fuentes | Specialist/Technologist | 2904 Wall Ave, Waukegan, IL 60087 | 2018-06-22 |
| 1578912713 | Fulton Family Dental, Ltd. | Dentist | 1308 Sunset Ave., Waukegan, IL 60087 | 2016-06-08 |
| 1902852825 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3124 N Lewis Ave, Waukegan, IL 60087 | 2006-05-25 |
| 1396723565 | Daram H Reddy Md | Psychiatry & Neurology | 609 Greenwood Ave, Waukegan, IL 60087 | 2006-01-06 |
| 1609200328 | Rosa Margaret Uriostegui | Interpreter | 2117 Edgewood Rd, Waukegan, IL 60087-1442 | 2013-08-29 |
| 1518390871 | Mary Sol Enriquez | Developmental Therapist | 11307 W Edgewood Rd, Beach Park, IL 60087-1526 | 2013-08-09 |
| 1649894130 | Kelly M Ingram | Developmental Therapist | 38229 N North Ave, Beach Park, IL 60087-1662 | 2020-06-01 |
| 1467735209 | Kelly A. Holverson | Speech-Language Pathologist | 38286 N Geraghty Ave, Beach Park, IL 60087-1748 | 2011-09-27 |
| 1487669594 | Walgreen Co | Pharmacy | 39023 N Green Bay Rd, Beach Park, IL 60087-1978 | 2006-07-29 |
| Find all providers in zip 60087 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396870051 | Kim Ladell Luster | Specialist/Technologist, Other | 2400 N Samson Way, Apt#2d, Waukegan, IL 60087-5079 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073075420 | Deborah Kay Schroh | Specialist/Technologist, Other | 2350 Ravine Way Ste 400, Glenview, IL 60025-7621 | 2019-04-04 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1427508076 | Mitchell Bogda | Specialist/Technologist, Other | 132 Bertram Dr Unit K, Yorkville, IL 60560-3212 | 2016-10-06 |
| 1972960193 | Kayla Rushing | Specialist/Technologist, Other | 101 S Birkey St, Goodfield, IL 61742-9631 | 2016-01-19 |
| 1174953186 | Christine Smith | Specialist/Technologist, Other | 12701 W 143rd St Ste 200, Homer Glen, IL 60491-7723 | 2013-11-13 |
| 1114356557 | Vladimir Stalev | Specialist/Technologist, Other | 5978 N Lincoln Ave Apt 2c, Chicago, IL 60659-3747 | 2013-11-06 |
| 1760811665 | Allan Cortes | Specialist/Technologist, Other | 807 Ann St, Joliet, IL 60435-0400 | 2013-11-01 |
| 1972942258 | Viktor Tabatchyk | Specialist/Technologist, Other | 109 Frank Lloyd Wright Ln, Oak Park, IL 60302-2644 | 2013-06-19 |
| 1316280514 | Lyubov Andrushkiv | Specialist/Technologist, Other | 840 N Oakley Blvd Apt 2, Chicago, IL 60622-4735 | 2013-04-05 |
| 1104166875 | Amit Riman | Specialist/Technologist, Other | 1851 President St, Glendale Heights, IL 60139-1978 | 2013-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.