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

Edith Mata Icabalceta, SA-C

Individual provider Surgical Assistant · NPI 1356206312

Edith Mata Icabalceta, SA-C is a Surgical Assistant in Palos Hills, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8133 Valley Dr
Palos Hills, IL 60465-2239
Phone: (872) 210-7324
Fax: (872) 210-7324
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 238000842

Record details

NPI number1356206312
Entity typeIndividual (Type 1)
GenderFemale
Credentials SA-C
Sole proprietorNo
NPI enumeratedDecember 22, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 21, 2025

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