| NPI | 1124410857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA KATSNELSON Director 847-257-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |