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

Surgical Partners

Organization Surgical Physician Assistant · NPI 1861770182

Surgical Partners is a Surgical Physician Assistant in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011

Practice location Address checks out

4440 W 95th St Advocate Medical Group - Surgical Partners
Oak Lawn, IL 60453-2600
Phone: (312) 731-4949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 238.000220 (IL)

Record details

NPI number1861770182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yaser Maksoud — President And Ceo · (312) 731-4949
Other names Broad Enterprises, Inc.
NPI enumeratedAugust 3, 2011
Last updated in NPPESAugust 3, 2011
Mailing addressPo Box 437, Surgical Partners, Chicago Ridge, IL 60415-0437

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