Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mj Surgassists LLC

Organization Surgical Physician Assistant · NPI 1366184996

Mj Surgassists LLC is a Surgical Physician Assistant in Woodridge, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2538 Ravinia Ln
Woodridge, IL 60517-2218
Phone: (708) 205-7678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1366184996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Maddela — Owner · (708) 205-7678
NPI enumeratedApril 13, 2022
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022
Mailing address2538 Ravinia Ln, Woodridge, IL 60517-2218

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