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

Mr. Jason Menno Maddela, SURGICALASSISTANT

Individual provider Surgical Physician Assistant · NPI 1144666363

Mr. Jason Menno Maddela, SURGICALASSISTANT is a Surgical Physician Assistant in Woodridge, Illinois. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

2538 Ravinia Ln
Woodridge, IL 60517-2218
Phone: (708) 205-7678
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgical Technologist Taxonomy 246ZS0410X

Record details

NPI number1144666363
Entity typeIndividual (Type 1)
GenderMale
Credentials SURGICALASSISTANT
Sole proprietorNo
NPI enumeratedMay 14, 2013
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022

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