SKY SURGICAL NPI 1215692173

NPI Information

  • NPI: 1215692173
  • Provider Name: SKY SURGICAL
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 6743 S POINTE DR UNIT 3C
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (920) 378-9266

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NPI Details

SKY SURGICAL is a surgical physician assistant in Tinley Park, IL. SKY SURGICAL NPI is 1215692173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6743 S POINTE DR UNIT 3C
TINLEY PARK, IL
ZIP 60477-291
Phone: (920) 378-9266

The provider's authorized official is Yogesh Sutrave .
The authorized official title is Owner and has the following contact phone number (920) 378-9266.

The enumeration date for this NPI number is 11/5/2021 and was last updated on 11/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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