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Alexandre Derevianko
Surgical Assistant in Great Lakes, Illinois
NPI 1679987879

Alexandre Derevianko is a Surgical Assistant based in Great Lakes, IL and is specialized in Surgical Assistant. Alexandre Derevianko practices in Great Lakes, IL. The NPI Number for Alexandre Derevianko is 1679987879 and holds a License No. 238000408 (Illinois).

The current practice location address for Alexandre Derevianko is 1811 Arkansas Ave, Great Lakes, IL and can be reached out via phone at 401-480-9807 and via fax at 847-733-5827.

Location: 1811 Arkansas Ave, Great Lakes, IL, 60088-4244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679987879
Provider Name
Alexandre Derevianko
Credential
Provider Entity Type
Individual
Gender
Male
Address
1811 Arkansas Ave, Great Lakes, IL, 60088-4244
Phone Number
401-480-9807
Fax Number
847-733-5827
Provider Enumeration Date
06/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
238000408 01 IL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1811 Arkansas Ave
City
Great Lakes
State
Illinois
Zip
60088-4244
Phone Number
401-480-9807
Fax Number
847-733-5827
person
Provider Business Mailing Address Details
Address
1811 Arkansas Ave
City
Great Lakes
State
Illinois
Zip
60088-4244
Phone Number
401-480-9807
Fax Number
847-733-5827
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Surgical Assistant
Taxonomy
246ZC0007X
License No.
238000408 (Illinois)
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
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