Maddela, Jason Menno

Maddela, Jason Menno is an individual health care provider with primary practice located at 2538 Ravinia Ln , Woodridge IL 60517-2218. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Maddela, Jason Menno can be contacted via phone (708) 205-7678.

Contact Information

Primary practice address
2538 Ravinia Ln Woodridge IL 60517-2218
Phone: (708) 205-7678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1144666363
LBN Legal business name Maddela, Jason Menno
Credentials SURGICAL ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2013
Last updated Apr 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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