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

Marlon Minor, RSA, CSA

Individual provider Surgical Assistant · NPI 1770887887

Marlon Minor, RSA, CSA is a Surgical Assistant in Normal, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011

Practice location Address checks out

112 Boeykens Pl Ste 2A
Normal, IL 61761-2152
Phone: (309) 846-4716
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 238.000282 (IL)

Record details

NPI number1770887887
Entity typeIndividual (Type 1)
GenderMale
Credentials RSA , CSA
Sole proprietorYes
NPI enumeratedJanuary 4, 2011
Last updated in NPPESSeptember 21, 2011
Mailing address112 Boeykens Pl Ste 2a, Normal, IL 61761-2152

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