| NPI | 1013085992 |
|---|---|
| Former Legal Business Name | CHARLES M. VYGANTAS MD |
| Entity Type | Organization |
| Authorized Contact | GINGER ESCHEVERRIA Practice Administrator 847-299-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-11-17 |